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目的:旨在进一步探讨超声检查在消化道癌肿方面的临床价值。方法:140例癌肿患者均经体表实时超声检查。参照胃癌PTNM分期标准及结肠癌Dukes法分期标准,制定本组四期超声检查标准,并与术后临床病理分期进行对照。结果:发现浆膜浸润或浸出者,诊断符合率达84%(79/94)。侵及邻近组织或器官者以及发现淋巴结转移者,诊断符合率分别为73%(36/49)和52%(55/105)。检出远隔脏器转移者,符合率达100%(15/15)。结论:经体表实时超声检查对腹部消化道癌肿腔外浸润的程度、范围及淋巴结转移等情况的显示,为临床手术方案的设计提供了影像的信息依据。
Objective: To further explore the clinical value of ultrasound in the digestive tract cancer. Methods: 140 patients with cancer were examined by real-time ultrasound. According to the PTNM staging criteria for gastric cancer and the Dukes staging criteria for colon cancer, the standard for the fourth-phase ultrasound examination was established and compared with the postoperative clinical pathological staging. RESULTS: In patients with serosal infiltration or leaching, the diagnostic coincidence rate was 84% (79/94). The diagnostic coincidence rates were 73% (36/49) and 52% (55/105) for those who invaded adjacent tissues or organs and found lymph node metastases. Detection of distant organ metastases, the compliance rate was 100% (15/15). Conclusion: The real-time ultrasonographic examination of abdominal gastrointestinal cancer shows the degree, scope, and lymph node metastasis of peritoneal cavities, which provides an informational basis for the design of clinical surgical procedures.