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目的:探讨胃充气状态下上腹部增强 CT 扫描对贲门癌可切除性的预测价值。方法:78例贲门癌病人行上消化道造影,并同时行胃充气状态下上腹部增强 CT 扫描。提出3项 CT 预测不宜手术切除的标准。结果:上消化道造影预测手术可切除符合率82.1%,胃充气状态下上腹部增强 CT 扫描预测手术可切除符合率94.9%,两组比较 P<0.05,具有显著差异。结论:胃充气状态下上腹部增强 CT 扫描对贲门癌可切除性的估价有重要价值,具有临床指导意义。
OBJECTIVE: To investigate the predictive value of enhanced CT scanning of the abdomen for resectability of gastric cardia in patients with gastric insufficiency. Methods: 78 cases of cardiac cancer patients underwent upper gastrointestinal angiography, and at the same time underwent gastric augmentation enhanced abdominal CT scan. Put forward three CT prediction should not be surgical resection standards. Results: The coincidence rate of resectable upper digestive tract imaging surgery was 82.1%. The coincidence rate of resectable upper abdomen enhanced CT scan under gastric augmentation was 94.9%. There was significant difference between the two groups (P <0.05). CONCLUSION: CT scanning of upper abdomen enhanced by gastrogavage has an important value in the evaluation of the resectability of gastric cardia cancer, which is of clinical significance.