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人体腹腔内脂肪分布与胃癌根治术+D2淋巴结清扫术后的短期结局之间有着紧密的联系。但目前常用的有关肥胖的体表测量方式不能准确地反映出人体腹腔内脂肪组织的分布。近年发展起来的多探头螺旋CT(MDCT)容积扫描方法可直接进行脂肪的定量测量,是评价人体脂肪组织含量与分布的准确测量方法。该文综述了MDCT对人体脂肪分布的术前评估对胃癌手术短期结局的影响。
There is a close relationship between the intra-abdominal distribution of fat and the short-term outcome after radical gastrectomy plus D2 lymph node dissection. However, the most commonly used body surface measurement methods for obesity do not accurately reflect the distribution of adipose tissue in the human body. In recent years, the multi-probe spiral CT (MDCT) volume scanning method can directly measure the amount of fat, which is an accurate method to evaluate the content and distribution of human adipose tissue. This review summarizes the effect of MDCT on the preoperative assessment of human fat distribution on the short-term outcome of gastric cancer surgery.