癌变·畸变·突变 ›› 2003, Vol. 15 ›› Issue (2): 88-90.doi: 10.3969/j.issn.1004-616x.2003.02.008

• 论文 • 上一篇    下一篇

超声对老年人胃癌诊断意义与胃镜、手术病理对照研究

马建芳, 安一明, 薛建设, 王敦德, 陈晓宇   

  1. 中国人民解放军第476医院, 福建 福州 350002
  • 收稿日期:2002-12-16 修回日期:2003-02-24 出版日期:2003-04-30 发布日期:2003-04-30
  • 通讯作者: 马建芳

ULTRASOUND DIAGNOSIS AND ITS CLINICAL VALUE FOR THE GASTRIC CANCER IN ELDERLY PATIENTS: COMPARISON WITH GASTROFIBERSCOPE AND PATHOLOGICAL

MA Jian-fang, AN Yi-ming, XUE Jian-she, et al.   

  1. The Chinese PLA 476th Hospital, Fuzhou 350002, China
  • Received:2002-12-16 Revised:2003-02-24 Online:2003-04-30 Published:2003-04-30
  • Contact: MA Jian-fang

摘要: 目的: 为临床提供更多老年人胃癌的诊断依据和治疗方案。 方法: 用超声对123例老年人胃癌诊断与胃镜,手术和非老年人胃癌超声诊断进行对照研究。 结果: 老年人胃癌超声诊断符合率(96.7 %)与胃镜(98.4 %)、手术病理(100 %)及非老年人胃癌超声诊断(94.5 %)比较差异无显著性(P>0.05);超声组对胃癌胃腔外肿瘤浸润和淋巴结转移诊断明显优于胃镜组。老年人胃癌超声定位,图像与非老年组无差异;两组胃癌超声定位与手术证实差异无显著性(P>0.05)。 结论: 超声对观察胃癌浸润深度、周围侵犯及淋巴结转移诊断可靠,对肿瘤TNM分期可作出初步估价,利于制定治疗方案,弥补胃镜检查不足。

关键词: 胃癌, 诊断, 超声, 胃镜, 手术, 老年人

Abstract: Purpose: To provide more evidences for the diagnosis and the selectionof clinical therapeutic scheme in elderly patients with gastric cancer. Methods: The ultrasonographic diagnosis of 123 gastric cancer in elderly patient swere compared with gastrofiberscope,operation and no-elderly patients of gastriccancer with ultrasonographic diagnosis. Results: There were no significant differences(P>0.05) in diagnosis coincidence rate of elderly gastric cancer among wlfrasonographic(96.7 %), gastrofiberscope(98.4 %), pathological nature(100 %), and no-elderly patients group(94.5 %). The diagnosis on gastricexter-lumen infiltration and lymphatic metastasis in the patients with gastriccancer of ultrasonographic group was increased significantly as compared with thegastrofiberscope group. There was no significamt difference in ultrasonographic localizationand picture between elderly and no-elderly group. There were not statistically difference in ultrasonographic localizationand operative proof from that in both groups (P>0.05). Conclusions: Ultrasonographic diagnosis was exact to observe the degree ofinfiltration, encroachment of enviroment and lymphatic metastasis with gastriccancer, can evaluate the TNM stage, and is useful for make a therapeutic scheme, bridgea gap from gastrofiberscope.

Key words: gastric tumor, diagnosis, ultrasoumd, gastrofiberscope, operation, elder