多层螺旋ct对进展期胃癌lauren分型的价值研究.docVIP

多层螺旋CT对进展期胃癌Lauren分型的价值研究 俞明明 俞易慧 张碧峰 李盛 李强 宁波大学医学院附属鄞州医院放射科 海宁市人民医院放射科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:评估多层螺旋CT (Multi slice computed tomography, MSCT) 对进展期胃癌Lauren分型的应用价值。方法:回顾性分析114例经手术病理证实的进展期胃癌的MSCT影像学表现, 以Lauren分型标准分为肠型胃癌和弥漫型胃癌两组, 比较两组进展期胃癌的肿瘤厚度、长径、门脉期CT值、强化方式、肿瘤表面有无溃疡情况、淋巴结分期。结果:肠型和弥漫型胃癌分别为50例和64例, 两组厚度分别为 (18.42±7.40) mm和 (17.17±5.14) mm, 差异无统计学意义 (t=1.07, P=0.29) ;长径分别为 (50.70±17.29) mm和 (60.82±23.33) mm;门脉期CT值 (黏液腺癌除外) 分别为 (75.75±15.81) HU和 (85.80±18.17) HU;强化方式: (均匀∶不均匀=27∶23和21∶43) ;表面情况: (平坦∶溃疡=13∶37和32∶32) ;以上差异均有统计学意义, 分别为 (t=-2.57, P=0.01) , (t=-3.05, P=0.00) , (χ2=5.17, P=0.02) , (χ2=6.77, P=0.01) ;淋巴结分期与病理对照符合率分别为84.00%与81.25%。结论:MSCT对进展期胃癌的Lauren分型有较大价值, 两型进展期胃癌在肿瘤长径、门脉期CT值 (黏液腺癌除外) 、强化方式及肿瘤表面有无溃疡方面均有较大差异, CT对胃癌淋巴结分期有较高符合率。 关键词： 胃肿瘤; 肿瘤分期; 体层摄影术, 螺旋计算机; 作者简介：俞明明 (1987-) , 女, 浙江宁波人, 医师。E-mail:mingyue.44@163.com 作者简介：李强, 宁波大学医学院附属鄞州医院放射科, 315040。E-mail:qlihorse00@163.com 收稿日期：2017-01-11 The Lauren classification of advanced gastric carcinoma using multi-slice computed tomography YU Ming-ming YU Yi-hui ZHANG Bi-feng LI Sheng LI Qiang Department of Radiology, Yinzhou Hospital Affiliated to Medical School of Ningbo University; Department of Radiology, Haining Peoples Hospital; Abstract： Objective:To investigate the value of multi-slice computed tomography (MSCT) in Lauren classification of advanced gastric carcinoma. Methods:MSCT imaging findings of 114 patients with advanced gastric cancer proved by operation or gastroscopy biopsy were analyzed retrospectively. All cases were divided into two groups, intestinal-type (IT) and diffuse-type (DT) , according to Lauren classification standard. The thickness, long diameters, CT values of portal venous phase, enhancement patterns and surface of the tumor were compared between the two groups. Results:A total of 50 and 64 cases were found in IT and DT gastric carcinoma. The thickness of two groups were (18.42±7.40) mm and (17.17±5.14) mm, the diffe