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目的 探讨胃癌术后转移的特点和疑难图像的扫查方法及其鉴别诊断要领。方法 对 6 8例胃癌手术前后转移性病变的临床资料和超声随访结果进行回顾性分析。结果 胃癌术后转移率高低依次为淋巴结、肝脏、胰腺等。术后超声显示淋巴结肿大组 ,其术前淋巴结转移率明显高于未肿大组 (P<0 .0 5 )。 1 1例术前或术中发现的肝脏小肿物 ,随访结果 :肝转移癌 8例 ,原发性肝癌 1例 ,良性肿物 2例。结论 超声追踪监测胃癌术后转移灶是一种简便、有效的检查手段
Objective To investigate the characteristics of postoperative metastasis of gastric cancer and the scanning method of difficult images and the essentials of differential diagnosis. Methods The clinical data and ultrasound follow-up results of 68 cases with metastatic gastric cancer before and after surgery were analyzed retrospectively. Results The rates of postoperative metastasis of gastric cancer were lymph node, liver, pancreas and so on. Postoperative ultrasound showed lymph node enlargement group, the preoperative lymph node metastasis rate was significantly higher than the group did not enlarge (P <0.05). 11 cases of small or small hepatic tumors found before or during operation were followed up: 8 cases of liver metastases, 1 case of primary liver cancer and 2 cases of benign tumor. Conclusion Ultrasound-guided monitoring of gastric cancer metastasis is a simple and effective means of examination