| 穆晓俊,刘亚斌,刘 毅,王 勤,张明英,王 森.胃增强CT与超声双重造影诊断胃间质瘤临床价值研究[J].,2017,17(29):5773-5776 |
| 胃增强CT与超声双重造影诊断胃间质瘤临床价值研究 |
| Clinical Values of Enhanced CT and Double Contrast Radiography in Diagnosis of Gastric Stromal Tumor |
| 投稿时间：2016-12-30 修订日期：2017-01-27 |
| DOI：10.13241/j.cnki.pmb.2017.29.041 |
| 中文关键词: 间质瘤 增强CT 超声双重造影 诊断 |
| 英文关键词: Gastric stromal tumor Enhanced CT Double contrast radiography Diagnosis |
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| 中文摘要: |
| 摘要 目的：探讨胃增强CT与超声双重造影诊断胃间质瘤的临床价值。方法：收取2010年1月至2016年1月间于我院就诊的胃间质瘤患者43例作为研究对象，对其胃增强CT与超声双重造影检查结果进行回顾性分析，总结两种方法的诊断准确率。结果：将43例胃间质瘤患者分为高危型17例及低危型26例，分别纳入高危组及低危组。高危组肿瘤大小>5 cm患者例数明显多于低危组，有液化坏死现象的患者也明显较多，差异有统计学意义（P<0.05）。增强CT胃间质瘤总检出率为95.35 %，超声双重造影胃间质瘤总检出率为86.05 %，联合检测胃间质瘤检出率高达97.67 %，高于两种方法单独检测，但差异不具有统计学意义（P>0.05）。增强CT定位准确率为65.85 %，超声双重造影定位准确率为97.30 %，联合检测定位准确率高达100 %，较单独检测差异显著（P<0.05）。结论：增强CT与超声双重造影在不同类型胃间质瘤的定位及定性诊断中各具优势，二者联合使用可显著提高胃间质瘤诊断准确率，值得临床推广。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical values of enhanced CT and double contrast radiography in the diagnosis of gastric stromal tumor. Methods: 43 patients with gastric stromal tumor accepted in our hospital from January 2010 to January 2016 were selected and their results of enhanced CT and double contrast radiography were retrospectively analyzed to summarize the accuracy of two methods. Results: 43 patients with gastric stromal tumor were divided into high risk group with 17 cases and low risk group with 26 cases accord- ing to different types. The patients with tumors >5 cm or with liquefactive necrosis in high risk group were obviously more than that of low risk group with statistically significance (P<0.05). The detection rate of enhanced CT and double contrast radiography was 95.35 % and 65.85 % respectively, which was lower than 97.67% of combined detection without great difference (P>0.05). The locating accuracy of enhanced CT and double contrast radiography was 65.85 % and 97.30 % respectively, which was obviously lower than 100 % of com- bined detection with statistically significance (P<0.05). Conclusion: Enhanced CT and double contrast radiography has their own ad- vantages in locating or determining in the diagnosis of gastric stromal tumor. Using combined detection can improve the accuracy rate and worthy of clinical applications. |
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