61例胃癌累及或突破小网膜的CT增强表现

发布时间：2018-06-20 07:10

本文选题：胃肿瘤 + 网膜　；参考：《重庆医学》2016年15期

【摘要】：目的探讨胃癌累及或突破小网膜的CT增强表现,以期为临床治疗提供可靠依据。方法回顾性研究重庆市江北区中医院2013年7月至2014年6月经外科证实病变累及或突破小网膜,同时具有术前上腹部CT增强检查资料的胃癌患者61例。依据外科手术发现对照研究相关CT结果,观察胃癌病灶的胃癌病灶的形态、部位,CT在小网膜受累中的征象,胃癌病变向外扩散满意的特点及腹水伴随情况。结果术前CT增强显示小网膜受胃癌直接浸润34.43%(21/61),种植转移29.51%(18/61),小网膜囊邻近淋巴结转移63.93%(39/61);伴不同程度腹腔积液16例;有无腹水与胃癌直接对小网膜侵犯、胃癌小网膜淋巴结转移差异无统计学意义(P0.05),与胃癌小网膜种植转移差异有统计学意义(P0.05)。结论胃癌术前上腹部CT增强检查可较准确评价小网膜受累状况,由此可指导临床治疗方案的制订及评估预后。
[Abstract]:Objective to investigate the CT enhancement features of gastric cancer involving or breaking through the omentum in order to provide reliable evidence for clinical treatment. Methods from July 2013 to June 2014, 61 patients with gastric cancer who were confirmed by surgery to break through the lesser omentum and had the data of CT enhancement before operation were retrospectively studied in Jiangbei traditional Chinese Medicine Hospital of Chongqing. According to the CT findings of surgical findings, the morphology of gastric cancer focus, the CT features of location CT in the involvement of lesser omentum, the characteristics of the diffusion of gastric cancer to the outside and the concomitant condition of ascites were observed. Results preoperative CT enhancement showed that the omentum was directly infiltrated by gastric carcinoma 34.43% of 61%, the implantation metastasis was 29.51%, and the adjacent lymph node metastasis of the omentum sac was 63.93% of 63.93%. There were 16 cases of peritoneal effusion with different degrees of ascites and gastric cancer directly invading the lesser omentum. There was no significant difference in lymph node metastasis between the small omentum of gastric cancer and that of the implantation of omentum in gastric carcinoma (P 0.05). Conclusion preoperative upper abdominal CT enhanced examination can accurately evaluate the situation of omentum involvement, which can be used to guide the clinical treatment and evaluate the prognosis.
【作者单位】：重庆市江北区中医院放射科;第三军医大学西南医院放射科;
【分类号】：R735.2;R730.44

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