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贲门癌的CT及B超诊断价值(附67例报告)
作者:颜朝晖 
单位:武警江苏总队医院,影像科,江苏,扬州,225003
关键词:贲门癌 B型超声 X线计算机断层摄影术 
分类号:R814.42, R445.1, R735.2
出版年·卷·期(页码):2004·23·第五期(320-323)
摘要:

目的:探讨CT常规扫描及B超探查食管胃连接区的解剖,分析CT、B超在贲门癌诊断中的价值以及对外科治疗的指导价值.方法:收集220例正常者和67例贲门癌患者检查资料,分析正常CT解剖形态和贲门癌的CT表现,并与B超检查作比较,与手术结果作对照.结果:正常贲门CT分为锥体型、管状型和镰刀型3种形态;贲门癌CT可分为单纯管壁增厚型、肿块型和外侵型3型.术前诊断准确率CT为97%,B超为98.5%.结论:正确认识CT、B超下食管胃连接区的影像有利于提高CT、B超对贲门癌的检出率,可估计贲门癌手术切除的可能性.

Objective  To evaluate the  effect of CT and US on diagnosing cardia carcinoma,and to analyse the anatomic basis. Method  CT and US were performed in 220 normal subjects and 67 patients with cardia carcinoma,and their manifestations were compared. Results  Three types of CT manifestation of cardia were mostly seen in the normal subjects:cone-shaped,pipe-shaped and sickle-shaped. While in the group of tumor,mass,hytrophy wall and outward intrusion were seen. Preoperative diagnostic accuracy of CT is 97%,that of US is 98.5%. Conclusion  CT and US play a valuable role in the detection of tumors,upon which the possibility of cardiectomy is determined.

参考文献:

[1] 上海第一医学院《X线诊断学》编写组. X线诊断学, 1983
[2] 陈敏华. 消化系疾病超声学, 2003
[3] 刘正津, 陈尔瑜. 临床解剖学丛书胸部和脊柱分册, 1992  

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