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目的 :通过分析胃癌的CT表现诊断要点 ,于手术前对胃癌病变的侵犯范围、大小及程度进行较准确的估计 ,避免盲目手术 ,提高手术切除率。方法 :对 71例胃癌病例术前行CT平扫或增强扫描 ,根据CT表现分为宜手术治疗和不宜手术治疗 ,并与手术结果进行对照、分析。结果 :45例有手术指征行剖腹治疗 ,42例得到切除 ,切除率为 94.4% ;2 6例为不宜手术治疗 ,其中 6例行手术探查仅 1例被切除 ,切除率为 16.6% ,两者差异有显著统计学意义 (P <0 .0 1)。结论 :术前行CT检查对胃癌治疗方案的制订有着十分重要的指导作用 ,胃癌病例中若有 2个以上周围脏器受侵犯或已发生远处转移就不宜行手术治疗
OBJECTIVE: By analyzing the main points of CT diagnosis of gastric cancer, the scope, size and degree of invasion of gastric cancer before surgery are more accurately estimated to avoid blind surgery and improve the surgical resection rate. Methods: Totally 71 cases of gastric cancer underwent preoperative CT scan or enhanced scan. According to the CT findings, they were divided into three groups according to their CT findings: appropriate surgical treatment and unsuitable surgical treatment. The results were compared with the surgical results. Results: Forty-five patients underwent laparotomy and 42 patients underwent resection. The resection rate was 94.4%. Twenty-six patients were unsuitable for surgical treatment. Only one of the 6 patients underwent surgical resection and the resection rate was 16.6%. Two The difference was statistically significant (P <0.01). Conclusion: Preoperative CT examination of gastric cancer treatment program has a very important guiding role in the development of gastric cancer in more than two cases if the surrounding organs were violated or distant metastasis should not be surgically treated