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目的探讨进展期胃癌手术前螺旋CT检查的临床价值,评估手术切除可能性。方法回顾性总结经手术、病理证实的进展期胃癌螺旋CT检查资料42例。结果42例中肿瘤已突破浆膜面,向外侵犯、扩散及转移25例,评估手术切除可能性42例中符合37例,符合率为87%。结论进展期胃癌手术前螺旋CT检查临床价值较大,能较正确评估手术切除的可能性。
Objective To investigate the clinical value of preoperative spiral CT examination for advanced gastric cancer and evaluate the possibility of surgical resection. Methods A retrospective review of 42 cases of advanced gastric cancer confirmed by surgery and pathology was performed. Results In 42 cases, the tumor had broken through the serosal surface, and 25 cases were invaded, diffused and metastasized. The possibility of surgical resection was evaluated in 42 of 37 cases, and the coincidence rate was 87%. Conclusions The preoperative spiral CT examination for advanced gastric cancer is of great clinical value and can be used to evaluate the possibility of surgical resection.