| 摘要: |
| 目的 比较超声双重造影在不同部位胃癌术前T分期及Borrmann分型中的应用价值。方法 选取我院91例胃癌患者的术前超声双重造影检查资料，进行回顾性分析。按胃癌发生部位分成分成胃上、中、下部癌，通过超声双重造影对不同部位胃癌进行术前定位、T分期和Borrmann分型，与病理结果对照。结果 超声双重造影对胃癌术前定位的符合率为94.51%；对胃癌术前T分期和Borrman分型的总体符合率分别为69.23%和85.92%。超声双重造影在胃下部癌术前T分期 (Kappa=0.75)与病理一致性较好，在胃上部和胃中部癌术前T分期(Kappa=0.49、Kappa=0.67）与病理一致性中等，在胃上部和胃下部癌术前Borrmann分型（Kappa=0.92、Kappa=0.78）与病理一致性较好，在胃中部癌术前Borrmann分型(Kappa=0.68）与病理一致性中等。结论 超声双重造影对胃癌术前定位、总体T分期和总体Borrmann分型的评估准确性均较好，在不同部位胃癌术前T分期和Borrmann分型诊断中存在差异。临床医师可根据需要选用此项检查。 |
| 关键词: 胃肿瘤 超声双重造影 肿瘤分期 Borrmann分型 |
| DOI： |
| 投稿时间：2023-01-13修订日期：2023-08-21 |
| 基金项目: |
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| Comparison of value of double contrast-enhanced ultrasonography in preoperative T-staging and Borrmann classification of gastric cancer in different sites |
| Li Jiaxin,He Xue mei,Sun Jing,Yin Jiangyan,Chen Chongqing,WangTiantian,Yang Nanan |
| (Ultrasound Imaging Department,The First Affiliated Hospital of Chongqing Medical University) |
| Abstract: |
| Objective: To compare the application value of double contrast-enhanced ultrasonography (DCEUS) in preoperative T staging and Borrmann classification of gastric cancer in different parts. Methods: A retrospective analysis was performed on the preoperative DCEUS data of 91 patients with gastric cancer in our hospital. The gastric cancer is divided into upper gastric cancer, middle gastric cancer and lower gastric cancer according to the incidence site. Pre-operative localization, T staging and Borrmann classification of gastric cancer in different parts were performed by DCEUS, which was compared with the pathological results. Results: The coincidence rate of preoperative localization of gastric cancer by DCEUS was 94.51%. The overall coincidence rates of DCEUS in preoperative T staging and Borrman classification for gastric cancer were 69.23% and 85.92%, respectively. Pre-operative T staging (Kappa=0.75) of lower gastric carcinoma diagnosed by DCEUS had good consistency with pathological results, while the pre-operative T staging (Kappa=0.49, Kappa=0.67) of upper gastric carcinoma and middle gastric carcinoma diagnosed by DCEUS had medium consistency with pathological results. The preoperative Borrmann classification (Kappa=0.92, Kappa=0.78) of upper and lower gastric cancers by DCEUS has good diagnosis and pathological results consistent, while the diagnosis and pathological results of the preoperative Borrmann classification (Kappa=0.68) of middle gastric cancer have medium consistency. Conclusion: DCEUS had good accuracy in the assessment of preoperative localization, overall T staging and overall Borrmann classification of gastric cancer. DCEUS is different in the preoperative T staging and Borrmann type diagnosis of gastric cancer in different sites. This examination is optional for clinicians as needed. |
| Key words: Stomach neoplasms Double contrast-enhanced ultrasonography Neoplasm staging Borrmann classification |
