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目的通过对比超声内镜,探讨胃口服助显剂充盈超声在老年胃癌患者术前的分期诊断中的临床价值。方法对经胃镜确诊的65例拟行手术的老年胃癌患者均予胃口服助显剂超声及超声内镜检查并与术后病理诊断比较。结果 T分期中充盈超声T2、T3、T4分期准确度与超声内镜组间比较无统计学意义。N分期中充盈超声对N2、N3准确率及M1准确率均较超声内镜的高。结论胃充盈超声对老年胃癌患者术前中晚期分期较超声内镜更具优势。
Objective To compare the clinical value of ultrasonography in evaluating the preoperative staging of elderly patients with gastric cancer. Methods Totally 65 elderly gastric cancer patients undergoing endoscopy confirmed by gastroscope were given oral ultrasound and ultrasound endoscopy and compared with pathological diagnosis. Results There was no significant difference between T stage staging accuracy of T2, T3, T4 ultrasound and endoscopic ultrasonography. N stage staging ultrasound N2, N3 accuracy and M1 accuracy are higher than the endoscopic ultrasonography. Conclusion Gastric ultrasonography is superior to ultrasound endoscopy in the treatment of advanced gastric cancer in the advanced stage.