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目的探讨CT评估进展期胃癌手术可根治性的价值。方法对158例进展期胃癌病例术前行CT平扫或增强扫描,用盲法根据CT表现分为宜手术治疗和不宜手术治疗2组,并与手术结果进行对照、分析。结果宜手术治疗组102例,有97例成功实行根治术,CT准确率为95.1%;不宜手术治疗组56例,仅6例成功实行根治术,50例行非根治术,CT准确率89.3%,两者差异有显著统计学意义(P<0.01)。结论术前行常规CT检查对进展期胃癌治疗方案的制订有着极其重要的指导作用。
Objective To evaluate the value of CT in evaluating the curative effect of advanced gastric cancer surgery. Methods One hundred and eighty patients with advanced gastric cancer underwent preoperative CT scan or enhanced scan. According to CT findings, they were divided into two groups according to their CT findings. The two groups were compared with the surgical results. Results The surgical treatment group 102 cases, 97 cases successfully underwent radical mastectomy, CT accuracy was 95.1%; not surgical treatment group 56 cases, only 6 cases successfully underwent radical operation, 50 cases underwent non-radical operation, CT accuracy 89.3% , The difference between the two was statistically significant (P <0.01). Conclusion Preoperative routine CT examination for the development of advanced gastric cancer treatment program has an extremely important guiding role.