多层螺旋CT成像技术在胃肠道间质瘤诊断中的应用价值.pdfVIP

外科研究与新技术 2015 年6 月第4 卷第2 期 ·95 · 多层螺旋CT 成像技术在胃肠道间质瘤诊断中的应用价值 唐俊军，黄宗良，王国良，朱海燕 同济大学附属同济医院医学影像科，上海 200065 [摘 要] 目的 提高多层螺旋CT成像技术在胃肠道间质瘤诊断中重要性的认识。方法 回顾性分析经手术病 理证实的28例胃肠道间质瘤的CT表现。结果 28例胃肠道间质瘤中，胃部15例、十二指肠7例、空回肠5例、胃肠 道外（小网膜）1例。多层螺旋CT重建技术的应用能清楚显示28例病变，其中18例呈圆形，10例呈不规则形；生长 方式：内生型7例、外生型4例、腔内外生长型16例、胃肠道外型1例。结论 多层螺旋CT成像技术在胃肠道间质瘤 的诊断中有很大的价值。 [关键词] 胃肠道间质瘤；体层摄影术；诊断 [中图分类号] R575 [文献标志码] A [文章编号] 2095-378X （2015 ）02-0095-04 doi ：10.3969/j.issn.2095-378X.2015.02.007 Clinical value of multi-slice CT in diagnosis of gastrointestinal stromal tumors TANG Junjun ，HUANG Zongliang ，WANG Guoliang，ZHU Haiyan Department of Radiology ，Tongji Hospital ，Tongji University School of Medicine ， Shanghai 200065 ，China [Abstract] Objective To enhance the manifestation and application value of multi- slice spiral CT(MSCT) in diagnosis of gastrointestinal stromal tumors(GIST). Methods MSCT findings of 28 cases were retrospectively analyzed ， diagnosed with GIST surgically and pathologically. Results Among the 28 cases ，15 cases were located in stomach ，7 cases in duodenum ，5 cases in small intestine ，1 case in lesser omentum. The application of multi- slice spiral CT reconstruction technology can clearly show 28 cases of GIST. Eighteen tumors presented round shape and other 10 had irregular margins.28 cases were verified by CT reconstruction technology ，including endogenous type （n=7 ），exogenous type （n=4 ），intra- and extra-luminal growth （n= 16）and others （n= 1）. Conclusion Multi-slice spiral CT imaging is of great value in the diagnosis of gastrointestinal stromal tumor. [Ke