CT和超声内镜诊断胃肠道间质瘤价值分析.docVIP

CT和超声内镜诊断胃肠道间质瘤价值分析 　　摘要：目的 分析CT和超声内镜在诊断胃肠道间质瘤中的临床价值。方法 回顾性分析64例术后经病理及免疫组化确诊为GIST 患者的临床资料，观察术前彩超、CT、胃镜和超声内镜检查时肿瘤检出率及GIST诊断符合率。结果 术后确诊的64例GIST患者中，术前检查33例，肿瘤检出率54.55%（18/33），GIST诊断符合率3.03%（1/33）； CT检查56例，肿瘤检出率94.64%（53/56），GIST诊断符合率60.71%（34/56）；胃镜检查40例，肿瘤检出率90.00%（36/40），诊断符合率37.50%（15/40），超声内镜检查9例，肿瘤检出率、诊断符合率均为100%（9/9）。结论 CT和EUS 均能有效检出和诊断胃肠道间质瘤，EUS 检出率和诊断符合率更高，可作为术前诊断GIST 的首选方法。 　　关键词：胃肠道间质瘤；CT；超声内镜 　　Diagnostic Value of CT and Endoscopic Ultrasonography in Diagnosis of Gastrointestinal Stromal Tumor 　　LAN Qi-hui 　　（CT Room，TCM Hospital of Longchang County， Neijiang 642150，Sichuan，China） 　　Abstract：Objective To analyze the clinical value of CT and endoscopic ultrasonography in diagnosis of gastrointestinal stromal tumor. Methods Aretrospective analysis of 64 cases of postoperative pathology and immunohistochemistry confirmed by clinical data of patients with gist were observed preoperative color Doppler ultrasound， CT， endoscopy and endoscopic ultrasonography tumor detection rate and diagnosis of GIST coincidence rate. Results Postoperative diagnosis of 64 cases of GIST patients， preoperative examination of 33 cases， the tumor detectable rate of 54.55% （18 / 33）， the diagnosis of GIST with rate 3.03% （1 / 33）； 56 cases were examined with CT， the tumor detectable rate 94.64% 53/56. Diagnosis of GIST with rate of 60.71% 34/56； gastroscopy in 40 cases， tumor detection rate of 90.00% （36 / 40）， the diagnostic accordance rate was 37.50% （15 / 40）， 9 cases of endoscopic ultrasonography， tumor detection rate and diagnostic coincidence rate was for 100% （9 / 9）. Conclusion Both CT and EUS can effectively detect and diagnose gastrointestinal stromal tumor， and the diagnostic rate of EUS is higher， and it can be used as the first choice for preoperative diagnosis of GIST. 　　Key words：Gastrointestinal stromal tumor； CT ；Ultrasonic endoscopy 　　胃肠间质瘤（gastrointestinal stromal tumor，GIST）是最常见的胃肠道间叶源性肿瘤，多见于50～70岁中老年人群，其中60%～70%发生于胃[1]，其次为小肠，在胃肠道外的腹腔、盆腔、网膜等部位发生率也较高。临床主要表现，