16排螺旋CT诊断胃肠道间质瘤的应用价值
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摘要
目的探讨16排螺旋CT诊断胃肠道间质瘤的应用价值。方法方便选择从2016年1月—2018年12月收治的40例胃肠道间质瘤患者纳入研究工作,均接受16排螺旋CT检查,以病理检查结果为"金标准",比较分析16排螺旋CT检查方法的检查结果 ,以及胃肠道间质瘤的特点。结果良性病变或低度恶性病变占67.50%,中高度恶性病变占32.50%;16排螺旋CT检查方法的检查诊断敏感度为94.44%,16排螺旋CT检查方法的检查诊断特异度为75.00%,16排螺旋CT检查方法的检查诊断准确性为92.50%。结论胃肠道间质瘤应用16排螺旋CT诊断的价值确切。
Objective To investigate the value of 16-slice spiral CT in the diagnosis of gastrointestinal stromal tumors.Methods A total of 40 patients with gastrointestinal stromal tumors admitted from January 2016 to December 2018 were convenient selected and enrolled in the study. All patients underwent 16-slice spiral CT examination. The results of pathological examination were considered as "gold standard". The results of 16-slice spiral CT and the characteristics of gastrointestinal stromal tumors were analyzed and compared. Results The benign lesions or low-grade malignant lesions accounted for 67.50%, the medium-high grade malignant lesions accounted for 32.50%. The diagnostic sensitivity, specificity,and accuracy of 16-slice spiral CT examination method were 94.44%, 75.00%, and 92.50% respectively. Conclusion The 16-slice spiral CT diagnosis of gastrointestinal stromal tumors is exact.
Objective To investigate the value of 16-slice spiral CT in the diagnosis of gastrointestinal stromal tumors.Methods A total of 40 patients with gastrointestinal stromal tumors admitted from January 2016 to December 2018 were convenient selected and enrolled in the study. All patients underwent 16-slice spiral CT examination. The results of pathological examination were considered as "gold standard". The results of 16-slice spiral CT and the characteristics of gastrointestinal stromal tumors were analyzed and compared. Results The benign lesions or low-grade malignant lesions accounted for 67.50%, the medium-high grade malignant lesions accounted for 32.50%. The diagnostic sensitivity, specificity,and accuracy of 16-slice spiral CT examination method were 94.44%, 75.00%, and 92.50% respectively. Conclusion The 16-slice spiral CT diagnosis of gastrointestinal stromal tumors is exact.
引文
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[10]Nanding A,Tang,L,Cai L,et al.Low ING4 protein expression detected by paraffin-section immunohistochemistry is associated with poor prognosis in untreated patients with gastrointestinal stromal tumors[J].Gastric cancer:official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association,2014,17(1):87-96.
[11]HakiméA,LeCesne A,Deschamps F,et al.A role for adjuvant rfa in managing hepatic metastases from gastrointestinal stromal tumors(GIST)after treatment with targeted systemic therapy using kinase inhibitors[J].Cardiovascular and Interventional Radiology:A Journal of Imaging in Diagnosis and Treatment,2014,37(1):132-139.
[2]张学凌,赵建洪,张玲艳,等.能谱CT参数对胃肠道间质瘤危险度分级的初步研究[J].实用放射学杂志,2016,32(12):1880-1883.
[3]李东,陈则君,陈子健,等.多层螺旋CT诊断老年胃肠道间质瘤的价值[J].中国老年学杂志,2016,36(14):3481-3483.
[4]李强,支小飞,姜胜华,等.胃肠道间质瘤循环肿瘤细胞的监测及其对患者预后的意义[J].中华普通外科杂志,2016,31(10):836-838.
[5]郑晨,齐雪梅,梁长虎,等.CT增强扫描在腹内型侵袭性纤维瘤病和胃肠道间质瘤鉴别诊断中的价值[J].医学影像学杂志,2017,27(6):1104-1108.
[6]石磊,徐峰.胃肠道间质瘤的MSCT表现与病理化验对照分析[J].中国CT和MRI杂志,2017,15(3):109-111.
[7]仝莉,巢惠民,王劲武,等.不同病理危险度分级的胃肠道间质瘤CT表现特点[J].安徽医学,2018,39(5):564-567.
[8]克力木·阿不都热依木,吾布力卡斯木·吾拉木,玉素甫·买买提,等.免疫标志物在338例胃肠道间质瘤患者肿瘤组织中的表达及其临床意义[J].中华消化杂志,2018,38(1):20-24.
[9]孙步健,史云峰.胃肠道间质瘤的多层螺旋CT诊断价值探讨[J].基层医学论坛,2018,22(4):540-541.
[10]Nanding A,Tang,L,Cai L,et al.Low ING4 protein expression detected by paraffin-section immunohistochemistry is associated with poor prognosis in untreated patients with gastrointestinal stromal tumors[J].Gastric cancer:official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association,2014,17(1):87-96.
[11]HakiméA,LeCesne A,Deschamps F,et al.A role for adjuvant rfa in managing hepatic metastases from gastrointestinal stromal tumors(GIST)after treatment with targeted systemic therapy using kinase inhibitors[J].Cardiovascular and Interventional Radiology:A Journal of Imaging in Diagnosis and Treatment,2014,37(1):132-139.