| 曾凡勇 金彪 张捷 陈峰 王路兵.胃窗超声造影与增强CT对胃癌病理类型判断的影响因素[J].,2014,14(30):5937-5940 |
| 胃窗超声造影与增强CT对胃癌病理类型判断的影响因素 |
| Influencing Factors of Stomach Window CEUS and Enhanced CTfor Gastric Pathology Type Judgment |
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| DOI： |
| 中文关键词: 胃窗超声造影 增强CT 胃癌病理类型 影响因素 |
| 英文关键词: StomachWindow CEUS Contrast-enhanced CT Gastric cancer pathology type Effect factors |
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| 中文摘要: |
| 目的：探讨胃窗超声造影与增强CT 对胃癌病理类型判断的影响因素。方法：选择120 例经过手术病理证实的胃癌患者，均
进行胃窗超声造影剂增强CT 检查。所有患者都进行了临床资料的调查，分析了影响病理类型判断的影响因素。结果：胃癌患者超
声造影显示为胃窦部胃壁增厚、僵硬，呈低回声，与周围组织分界不清；CT 表现为胃壁均质不规则增厚，强化后扫描病灶呈均质
轻、中度强化；随着临床分期的增加，高分期患者的PI值明显低于低分期患者，而EI值明显高于低分期患者(P<0.05)。超声造影与
增强CT 诊断胃癌都为112 例，检出率为93.3%。Logistic 回归分析显示患者的发病年龄及胃癌的病灶部位、临床分期、病理组织
学类型是胃癌检出的独立危险因素(P<0.05)。结论：胃窗超声造影与增强CT 在胃癌病理判断中都有很好的效果，可明显提高病变
诊断的准确性，但是也需要根据影响因素加强鉴别。 |
| 英文摘要: |
| Objective:To investigate the effect factors of stomach window CEUS and enhanced CT for the diagnosis of gastric
pathology type.Methods:20 cases with gastric cancer who were confirmed by the surgical and pathology were selected as the study
objectives and were examined by the stomach windows ultrasound contrast and the agent-enhanced CT. All the clinical data of patients
were investigated, and the influencing factors of pathology type judgment were analyzed.Results:CEUS results showed that the antral
gastric wall thickening and inflexible, hypoechoic and unclear boundaries with the surrounding tissue were the influencing factors of
patients with gastric cancer. CT results reflected that the homogeneous irregular thickening of the gastric wall was the influencing factor,
after which the enhanced scan showed a homogeneous lesions with mild to moderate strengthening. With the clinical stage increasing, PI
value of high installment patients were obviously lower than that of the low installment patients, while the EI value were obviously higher
than that of the lower installment patients (P<0.05). The diagnosis cases were 112 both by the CUES and the enhanced CT with the
detection rate 93.3%. Logistic regression analysis performed that the onset age, the gastric lesion site, the clinical pathology and the
histological types were the independent risk factors (P<0.05).Conclusion:Stomach CUES and contrast-enhanced CT in the gastric
pathology type judgment had good effect, which could improve the disease diagnose accuracy, but also required intensified
identification based on effect factors. |
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