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贲门癌的影像学检查及TNM分期的影像学评估2
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作者:佚名 贲门癌来源:本站原创 点击数: 更新时间:2006-8-20
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由于贲门部位解剖的特殊性,国内外学者针对贲门癌的术前分期的专题研究较少,但对胃癌影像学系统研究的多项技术,为贲门癌的术前分期评估提供了很多可借鉴的经验,如准确了解贲门区CT图像特点及三期增强等技术与贲门区胃壁多层结构显像的关系,SCT和多项增强技术对早期贲门癌诊断的应用价值,再密切结合UGI、VG等传统影像检查及其他临床资料,准确了解贲门癌的大小、病变的类型及外侵的程度和范围,淋巴结及远处血行转移等情况,做出准确的肿瘤TNM分期,为贲门癌的进一步治疗提供可靠的影像学资料,避免了很多不必要的姑息手术和探查手术。 【参考文献】 1 沈镇宙,师英强.肿瘤外科手术学.南京:江苏科学技术出版社,2001,9:101. 2 寿化山,杨鲲鹏,张珊宇,等.钡餐造影B超探查对贲门癌切除可能性的对比研究.中华胸心血管外科杂志,1996,12(2):93. 3 张淼源.食管贲门部的超声检查及意义.广东医学,2000,21(5):412. 4 Takao M, Fukuda T, Iwanaga S, et al.Gastric cancer:evaluation of triphasic spiral CT and radiologic-pathologic correlation.Comput Assist Tomogr,1998,22(2):288-294. 5 Fukuya T,Honda H,Kaneko K,et al.Efficacy of helical CT in T-staging of gastric cancer.J Comput Assist Tomogr,1997,21(1):73-81. 6 Dux M,Ritchter GM,Hansmann J,et al.Helical hydro-CT for diagnosis and staging of gastric carcinoma.J Comput Assist Tomogr,1999,23(6):913-922. 7 Sohn KM,Lee JM,Lee SY,et al.Comparing MR imaging and CT in the staging of gastric carcinoma.AJR,2000,174(6):1551-1557. 8 Noda N,Sasako M,Yamaguchi N,et al.Ignoring small lymph nodes can be a major cause of staging error in gastric cancer.Br J Surg,1998,85(6):831-834. 9 Fukuya T,Honda H,Hayashi,et al.Lymph-node metastases:efficacy of dectection with helical CT in patients with gastric cancer.Radiology,1995,197(3):705-711. 10 Monig SP,Zirbes TK,Schroder W,et al.Staging of gastric cancer:correlation of lymph node size and metastatic infiltration.AJR,1999,173(2):365-367. 11 Davies J,Chalmers AG,Sue-Ling HM,et al.Spiral computed tomography and operative staging of gastric carcinoma:a comparison with histopathological staging.Gut,1997,41:314-319. 12 Alves FC,Goncalo M,Abraul E,et al.Induced pneumoperitoneum in CT evaluation of peritoneal carcinomatosis.Abdom Imaging,1995,20:52-56. 13 Minami M, Kawauchi N, Itai Y, et al. Gastric tumors:radiologicpathologic correlation and accuracy of T staging with dynamic CT.Radiology,1992,185:173-178. 14 Cho JS, Kim JK, Rho SM, et al. Preoperative assessment of gastric carcinoma:value of two-phase dynamical CT with mechanical iv injection of contrast material.AJR,1994,163:69-75. 15 彭卫军,周康荣,沈继章.正常胃CT应用解剖和表现.临床放射学杂志,1997,16(6):348. 16 彭卫军,周康荣.应用水充盈技术行胃癌CT分期及术前评估.临床放射学杂志,1994,2:78. 17 高剑波,郭华,周志刚,等.胃癌螺旋CT三期,双期和单期增强的比较研究.实用放射学杂志,2002,18(9):763. 18 Kadowaki K, Hori S, Sakai Y,et al. Computed tomography of gastric cancer.Rinsho Hoshasen(Japanese),1989,34:1549-1554. 19 朱斌.贲门癌的CT表现及诊断价值.实用放射学杂志,2000,16(10):600. 20 高剑波,杨学华,李荫太,等.进展期与早期胃癌螺旋CT三期增强的应用价值.中华放射学杂志,2001,35(4):253. 21 Lee DH,Ko YT.The role of 3D spiral CT in early gastric carcinoma.Comput Assist Tomogr,1998,22(5):709. 22 Ogata I,Komohara Y,Yamashita Y,et al.CT evaluation of gastric lesions with three-dimensional display and interactive virtual endoscopy: comparison with conventional barium study and endoscopy.AJR,1999,172(5):1263-1270. 23 工藤明敏,堀雅睛,太田惠一朗,ほか.CT によゐ胃癌リンパ结转移の诊断.日消外会志,1991,24(12):2099-2102. 转贴于 中国论文下载中心 http://www.studa.net |
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