多层螺旋CT增强扫描与消化道造影对老年胃癌临床分期的诊断价值比较

doi:10.3969/j.issn.1671-7171.2024.06.029

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摘要【目的】比较多层螺旋CT(MSCT)增强扫描与消化道造影对老年胃癌临床分期的诊断价值。【方法】回顾性分析本院收治的老年胃癌患者105例的临床资料,患者术前均接受MSCT或消化道造影检查,比较MSCT与消化道造影对老年胃癌的诊断价值。【结果】MSCT增强扫描判断胃癌T、N分期与病理诊断结果的Kappa值分别为0.864和0.849(P<0.05),一致性极较佳。消化道造影判断胃癌T分期与病理诊断结果的Kappa值为0.624(P<0.05),一致性较高。MSCT增强扫描诊断T分期的准确率为90.00%(45/50),高于消化道造影检查的72.73%(40/55),且差异有统计学意义(P<0.05)。【结论】相比较消化道造影,MSCT增强扫描在老年胃癌T、N分期评估中有较高的准确率,具有更好的临床使用价值。

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	李靖华
	洪念全
	张书会

关键词 ：胃肿瘤/影像诊断, 体层摄影术, 螺旋计算机, 肿瘤分期

Abstract：【Objective】To compare the diagnostic value of multidetector CT(MDCT) enhanced scan and gastrointestinal radiography for clinical staging of gastric cancer in the elderly. 【Methods】A retrospective analysis was conducted on the clinical data of 105 elderly patients with gastric cancer treated in our hospital. All patients underwent either MDCT or gastrointestinal radiography before surgery. The diagnostic values of MDCT and gastrointestinal radiography for gastric cancer in the elderly were compared. 【Results】The Kappa values for MDCT in determining T and N stages of gastric cancer compared to pathological diagnosis were 0.864 and 0.849, respectively(P<0.05), indicating excellent consistency. The Kappa value for gastrointestinal radiography in determining the T stage was 0.624(P<0.05), indicating a high level of consistency. The accuracy rate of MDCT in diagnosing T stage was 90.00%(45/50), which was higher than that of gastrointestinal radiography at 72.73%(40/55), with a statistically significant difference(P<0.05). 【Conclusion】Compared to gastrointestinal radiography, MDCT enhanced scan has higher accuracy in evaluating T and N stages of gastric cancer in the elderly, indicating better clinical application.

Key words： Stomach Neoplasms/DG Tomography, Spiral Computed Neoplasm Staging

收稿日期: 2024-01-20

中图分类号:

R735.2

引用本文:

李靖华, 洪念全, 张书会. 多层螺旋CT增强扫描与消化道造影对老年胃癌临床分期的诊断价值比较[J]. 医学临床研究, 2024, 41(6): 903-906.
LI Jinghua, HONG Nianquan, ZHANG Shuhui. Comparison of Multidetector CT Enhanced Scan and Gastrointestinal Radiography for Clinical Staging of Gastric Cancer in the Elderly. JOURNAL OF CLINICAL RESEARCH, 2024, 41(6): 903-906.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.06.029 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I6/903

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