李津,陈晋平,张林,周玉刚,华定新,温峰云,张慧君
LI Jin,CHEN Jinping,Zhang Lin,ZHOU Yugang,HUA Dingxin,WEN Fengyun,ZHANG Huijun

• 1:河北省廊坊市中医医院
• 2:河北省廊坊市人民医院影像科

摘要(Abstract)：

目的:比较CT仿真内镜(CTVE)与气钡双重造影(双对比造影)对胃肠道间质瘤的诊断价值。方法:89例经手术证实的胃肠道间质瘤患者先进行双对比造影检查,待造影剂排空后行CTVE检查,比较两种检查方法对胃肠道间质瘤的检出率、部位及肿瘤大小。结果:CTVE检出胃肠间质瘤的阳性率高于双对比造影,尤其是胃、小肠及直肠间质瘤的检出;CTVE对瘤体<5 cm、瘤体5~10 cm的检出率明显高于双对比造影检查。结论:CTVE对早期间质瘤检出敏感性高,能够生动反应瘤体大小及黏膜皱襞改变情况,具有一定早期诊断价值。
Objective: To compare the values of CT virtual endoscopy( CTVE) and pneumo-barium double contrast in diagnosis of gastrointestinal stromal tumor. Methods: Pneumo-barium double contrast was carried out in 89 cases with gastrointestinal stromal tumor confirmed by surgery,after draining off contrast agent,CTVE was conducted. The detection rates of the two methods to gastrointestinal stromal tumor were compared. Results: The detection rate of CTVE to gastrointestinal stromal tumor( especially for tumor located in stomach,small intestine and rectum,and tumor whose size < 5 cm or 5 ~10 cm) was higher than that of pneumo-barium double contrast. Conclusions: The detection rate of CTVE to gastrointestinal stromal tumor is high,and CTVE can lively show the tumor size and mucosal fold change,and help to early diagnosis of gastrointestinal stromal tumor.

关键词(KeyWords)： 胃肠道间质瘤;内窥镜检查,胃肠道;体层摄影术,X线计算机;气钡双重造影;诊断
gastrointestinal stromal tumor;endoscopy,gastrointestinal;tomography,x-ray computed;pneumo-barium double contrast;diagnosis

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 李津,陈晋平,张林,周玉刚,华定新,温峰云,张慧君
LI Jin,CHEN Jinping,Zhang Lin,ZHOU Yugang,HUA Dingxin,WEN Fengyun,ZHANG Huijun

DOI: 10.19367/j.cnki.1000-2707.2015.04.018

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