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目的探讨产气法CT(16层螺旋)仿真内窥镜诊断胃癌的价值及其与新辅助化疗治疗胃癌的综合疗效。方法选取产气法CT检查诊断的200例胃癌患者分为研究组和对照组各100例。研究组进行新辅助化疗和手术疗法,对照组患者只进行手术。判断产气法CT仿真内窥镜诊断胃癌的准确性,并比较2组疗效。结果产气法CT仿真内窥镜诊断阳性结果与病理检查结果基本一致,准确率为97.0%。研究组总有效率为94.0%高于对照组的74.0%,差异有统计学意义(P<0.05)。结论产气法CT仿真内窥镜诊断胃癌的准确率较高,结合新辅助化疗能提高疗效,临床意义显著,值得推广应用。
Objective To investigate the value of gas-generating CT (16-slice spiral) virtual endoscopy in the diagnosis of gastric cancer and its combined effect with neoadjuvant chemotherapy in the treatment of gastric cancer. Methods 200 cases of gastric cancer diagnosed by gas production CT examination were divided into study group and control group with 100 cases each. The study group received neoadjuvant chemotherapy and surgery, while patients in the control group received only surgery. To determine the gas production CT virtual endoscopy diagnosis of gastric cancer accuracy, and compared two groups. Results Gas-generating CT virtual endoscopy diagnosis of positive results and pathological findings are basically the same, the accuracy rate was 97.0%. The total effective rate was 94.0% in the study group and 74.0% in the control group, with significant difference (P <0.05). Conclusion Gas-generating CT virtual endoscopy is a more accurate method for diagnosing gastric cancer. Combined with neoadjuvant chemotherapy, it can improve the curative effect and has significant clinical significance. It is worth popularizing and applying.