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目的:探讨多层螺旋CT﹙MSCT﹚结合胃镜对胃癌术前TNM分期的临床价值。方法:选择梅州市人民医院2008年1月至2013年12月间收治的300例胃癌患者术前行胃镜联合MSCT检查,评估患者手术前肿瘤TNM分期,并与术后病理TNM分期比较。结果:胃镜联合MSCT检查对胃癌患者TNM分期符合率达到96%。结论:MSCT同胃镜相结合,能够在治疗前明确判断胃癌的分期,有助于医生选择合适的手术方式并采取相应的治疗措施,为患者争取较高的生活质量和较长的生存时间,具有很好的临床应用价值。
Objective: To investigate the clinical value of multi-slice spiral CT (MSCT) combined with endoscopy in the preoperative TNM staging of gastric cancer. Methods: Three hundred patients with gastric cancer admitted from January 2008 to December 2013 in Meizhou People’s Hospital were examined with gastroscopy combined with MSCT. The TNM stage before operation and the TNM stage were compared. Results: The coincidence rate of gastroscopy combined with MSCT in TNM staging of gastric cancer reached 96%. Conclusion: Combined with gastroscope, MSCT can clearly determine the staging of gastric cancer before treatment, which helps doctors to choose the appropriate surgical approach and take corresponding treatment measures for patients with higher quality of life and longer survival time, with Good clinical value.