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胃癌术前分期的B超诊断评估

Evaluation of B-ultrasonic diagnosis and stages to the gastric carcinoma before operation.

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【作者】 樊长坤吕江州张涛

【Author】 Fan Changkun,Lu Jiangzhou, Zhang Tao. (Department of Surgery, Xingyang People’s Hospital, Zhazgzhou 450100)

【机构】 荥阳市人民医院!郑州450100

【摘要】 目的判定进展期胃癌切除的可能性和/或手术方式的选择。方法本组34例均经Pentax胃镜检查,活检确诊为胃癌。术前应用 ATL Apogee800彩色B超应用变频探头对其进行检查,肿瘤的胃壁浸润情况和淋巴结转移情况判定B超TN期,分别与病理TN期比较。结果B超诊断肿瘤大小与手术所见符合率83.3%,T期准确度分别为T2 50%, T3 76. 4%, T462.5%,总符合率达 87.5%,N期准确度N1 80%,N2 75%总符合率75%以上。结论高性能B超有助于对胃癌的术前分期,对手术切除可能性的判断和转移淋巴结的清除,以及预后有重要价值。

【Abstract】 Objective To verdict resect feasibility and choose operative method of advanced gastric carcinoma. Methods Thirty-four patients with gastric cancer were examined by gastroscopy and biopsy. Before operation they were examined by Apogee 800 ultrasonic diagnostic apparatus. to verdict soaking of tu- mor and metastasis of lymph nodes,to reallocate the T. N. stage and PTN. Re- sults The coincidence in size of term was 83. 3% between B-us and operation. The accuracy of B-us in T and PT was T2 50%,T3 76. 4%,T4 62. 5%. The coinci- dence was 75%. Conclusion Exact B-us of Apogee 800 is critical value for gas- tric carcinoma staging before operation, and to verdict resect feasibility and re- sect of lymphatic metastasis.

【关键词】 胃肿瘤超声检查
【Key words】 Gastric cancer Ultrasonognaphy
  • 【文献出处】 陕西肿瘤医学 ,SHAANXI ONCOLOGY MEDICINE , 编辑部邮箱 ,2000年01期
  • 【分类号】R735.2
  • 【下载频次】19
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