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Clinical analysis of endoscopic ultrasonography in preoperative TNM staging of 126 gastric cancer cases
Author(s): 
Pages: 731-734
Year: Issue:  11
Journal: Chinese Journal of Digestion

Keyword:  Stomach neoplasmsEndosonographyTomographyX-ray computedNeoplasm staging;
Abstract: 目的 评价超声内镜(EUS)对胃癌患者术前TNM分期的准确性.方法 126例行外科手术治疗的胃癌患者,于术前1周行EUS和腹部螺旋CT检查,确定肿瘤浸润深度(T)、淋巴结转移(N)、远处转移(M)等分期情况,并与术后病理TNM分期进行对照,以评价EUS对TNM分期的准确性.数据处理采用配对x2检验.结果 与术后病理结果比较,EUS对胃癌T1、T2、T3、T4分期的准确率分别为84.6%、14/18、82.0%、85.7%;EUS对胃癌N0、N1、N2、N3分期的准确率分别为74.2%、75.0%、57.9%、5/17.螺旋CT对胃癌N0、N1、N2、N3分期的准确率分别为80.6%、75.0%、73.7%、12/17.EUS与螺旋CT对N0和N1分期判断的准确率接近,而对N2和N3分期的判断,螺旋CT较EUS有明显优势(x2=4.89,P=0.027;x2=13.88,P<0.01).对于胃癌远处转移M1分期的比较,EUS与螺旋CT的准确率分别为36.4%、95.5%,螺旋CT对M1的判断优于EUS(x2=7.90,P=0.001).结论 EUS对胃癌术前T分期具有较高的临床应用价值,而对淋巴结转移的N2、N3分期及远处转移的M分期的准确性有待提高.为获得较准确的术前TNM分期以指导治疗方案的选择,有必要联合螺旋CT检查.
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