论文部分内容阅读
目的:总结、分析胃肿瘤患者的多排CT诊断表现。方法:选取2013年12月~2015年12月之间于我院接受治疗的胃肿瘤患者100例,采用多排CT进行平扫和增强扫描,观察CT表现。结果:胃恶性组织细胞瘤患者6例表现为胃体前部大肿块,发展至腔外,导致胃腔变形,而且存在大量腹水;胃平滑肌瘤患者11,其中肿瘤呈圆形的肿块状者6例,从胃壁向外扩展,其余5例胃壁局限性增厚;83例胃癌患者的发病部位主要是胃窦、胃体和胃底,部分患者多部位发病,胃壁浸润性或局限性增厚者79例,腹腔淋巴结肿大者40例,呈串珠状,比较细小,融合为不规则团块状或者孤立为结节状,肿瘤侵犯体尾部者16例,发生肝转移者20例,Ⅰ期患者较少,临床分期以Ⅱ~Ⅳ期为主。结论:采用多排CT诊断胃肿瘤患者,能够准确发现肿瘤部位、大小、形态、边界等,区分肿瘤类型,具有重要的应用价值。
Objective: To summarize and analyze the multi-slice CT diagnosis of gastric cancer patients. Methods: A total of 100 gastric cancer patients treated in our hospital from December 2013 to December 2015 were selected. Multi-slice CT was used to perform plain and enhanced scanning to observe the CT findings. Results: Six patients with gastric malignant histiocytoma showed large anterior mass in the gastric body, developing into the extraluminal cavity, resulting in deformation of the gastric cavity with a large amount of ascites. Patients with gastric leiomyoma 11, in which the tumor had a round mass 6 cases, outward expansion from the stomach wall, and the remaining five cases of gastric wall thickening of the limitations; 83 cases of gastric cancer is mainly the incidence of gastric antrum, body and fundus, some patients with multiple parts of the disease, gastric wall infiltration or limited thickening 79 cases of abdominal lymph node enlargement in 40 cases, beaded, relatively small, the fusion of irregular clumps or isolated nodules, 16 cases of tumor invasion body tail, 20 cases of liver metastasis, stage Ⅰ Fewer patients, clinical stage Ⅱ to Ⅳ-based. Conclusion: The diagnosis of gastric cancer by multi-line CT can accurately find the tumor location, size, shape, boundary, etc., to distinguish the type of tumor, which has important application value.