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目的 回顾性分析腹部CT与B超检查对贲门癌手术切除可能性的评估。方法 2 2 3例贲门癌术前均行腹部CT与B超检查 ,将影像表现与手术结果对照比较。结果 贲门病变及区域淋巴结转移CT与B超诊断率分别为 90 5 %、76 2和 90 1、6 5 2 % ,两者基本相同 ;深部淋巴结转移与局部浸润CT与B超诊断率分别为 85 7%、6 2 5 %和 42 8%、37 5 % ,CT优于B超。结论 贲门癌术前行腹部CT与B超检查 ,能较客观了解贲门病变、局部浸润、淋巴结转移情况 ,尤其CT扫描提供了更直观病理与解剖学关系 ,为术前评估手术切除可能性提供了重要的参考依据。
Objective To retrospectively evaluate the feasibility of abdomen CT and B-ultrasound in the surgical resection of cardia cancer. Methods Twenty-three patients with cardiac cancer underwent preoperative abdominal CT and B-ultrasound, and the imaging findings were compared with the surgical results. Results The diagnostic rates of CT and B-ultrasound in cardia lesions and regional lymph node metastasis were 90 5%, 76 2 and 90 1, 65 2% respectively, which were basically the same. The diagnostic rates of deep lymph node metastasis and local infiltration CT and B ultrasonography were 85 7%, 62.5% and 42.8%, 37.5%, CT better than B ultrasound. Conclusions CT and B-ultrasound examination of cardia cancer before operation can provide a more direct visualization of pathology and anatomy than that of cardia lesions, local infiltration and lymph node metastasis, especially CT scan, which provides a preoperative evaluation of the possibility of surgical resection Important reference.