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| Study on the preoperative staging of gastric cancer by m ini-probe endoscopic ultrasonography combined with multi-slice spiral CT |
| SHU Hong-chun1 ZHENG Chi2 QIAN Kun3 DENG Hui-qiu1 |
1.Department of Gastroenterology,People′s Hospital of Shangrao City in Jiangxi Province,Shangrao 334000,China;
2.Department of Imaging,People′s Hospital of Shangrao City in Jiangxi Province,Shangrao 334000,China;
3.Department of General Surgery,People′s Hospital of Shangrao City in Jiangxi Province,Shangrao 334000,China |
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Abstract ObjectiveTo study the effect ofmini-probe endoscopic ultrasonography combined with multi-slice spiral CT on preoperative staging of gastric cancer,and to provide guidance for clinical practice.M ethods65 patients with gastric cancer diagnosed by clinical pathology who were admitted to our hospital from January 2016 to January 2017 were selected as the study subjects,25 patients with gastric cancer were given mini-probe endoscopic ultrasonography,and 20 patientswith gastric cancer were given multi-slice spiral CT,20 patients with gastric cancer were given miniprobe endoscopic ultrasonography combined with multi-slice spiral CT.The postoperative pathological resultswere taken as the gold standard.The effect ofmini-probe endoscopic ultrasonography combined with multi-slice spiral CT in the diagnosis of gastric cancer was investigated and compared.ResultsThe accuracy ofmini-probe endoscopic ultrasonography on gastric cancer of stage T1-4was 100.0%,71.4%,83.3%and 66.7%respectively.The accuracy on gastric cancer of stage N0-2was 100.0%,75.0%and 40.0%respectively.The accuracy ofmulti-slice spiral CT on gastric cancer of stage T1-4was 50.0%,50.0%,90.0%,75.0%respectively.The accuracy on gastric cancer of stage N0-2was 66.7%,60.0%and 71.4%respectively.The accuracy ofmini-probe endoscopic ultrasonography combined with multi-slice spiral CT on gastric cancer of stage T1-4was 100.0%,80.0%,87.5%and 100.0%respectively.The accuracy of gastric cancer of stage N0-2was 100.0%,90.0%and 83.3%respectively.ConclusionMini-probe endoscopic ultrasonography and multislice spiral CT in the diagnosis of preoperative staging of gastric cancer have different advantages.In order to ensure the diagnosis rate,the patients should be given combined diagnosis.
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