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放射性核素胃闪烁扫描术在胃肿瘤及癌前疾病诊断中的应用

[Radioisotope gastroscintigraphy in diagnosis of tumor and pretumor diseases of the stomach].

作者信息

Fadeev N P, Pavlov K A, Tret'iakova O I, Stefanenko Iu F, Pavlov G G

出版信息

Vopr Onkol. 1976;22(10):26-32.

PMID:1014490
Abstract

The results of isotope gastroscintigraphy, performed in 160 patients with tumor and pretumor diseases of the stomach, are reported. Based on a clinico-morphological estimation of gastroscintigraphic findings, it was found that in 115 (72%) patients the data of scanning coincided with the ultimate diagnosis. In 25 (16%) patients pseudopositive and in 20 (12%)--pseudonegative scannograms were obtained. The greatest number of pseudonegative results was noted in patients with gastric cancer (in 19 of 20), in 10 of them tumor being located in the cardiac portion of the stomach. The precision of diagnosing tumors in other anatomical portion of the stomach was 90%. In patients with pretumor lesions the character of scannographic alterations was dependent on the rate of impairment of gastric mucosa function and structure.

摘要

本文报告了对160例患有胃部肿瘤及肿瘤前期疾病患者进行同位素胃闪烁扫描的结果。基于对胃闪烁扫描结果的临床形态学评估,发现115例(72%)患者的扫描数据与最终诊断结果相符。25例(16%)患者获得假阳性扫描图,20例(12%)患者获得假阴性扫描图。假阴性结果最多见于胃癌患者(20例中有19例),其中10例肿瘤位于胃贲门部。胃其他解剖部位肿瘤诊断的准确率为90%。在患有肿瘤前期病变的患者中,扫描图改变的特征取决于胃黏膜功能和结构的受损程度。

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