The influence of water ⁃ drinking and no water ⁃ drinking on the preoperative TN staging accuracy of gastric cancer before the 64⁃row spiral CT examination
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    Abstract:

    Objective:To evaluate the diagnostic value of 64-row spiral CT in the preoperative TN staging of gastric cancer and the influence of water-filling method on the accuracy of the preoperative TN staging. Methods:The retrospective analysis was conducted to compare the CT diagnosis and pathological data of 120 gastric cancer patients(water-drinking group:60 cases;no water-drinking group:60 cases). Results:In the water-drinking group,there was high consistency between CT diagnosis of T staging and pathological data(Kappa=0.714). In the no water-drinking group,there was medium consistency between CT diagnosis of T staging and pathological data(Kappa=0.506). The overall accuracies in two groups had significant difference(P=0.039). In the water-drinking group,there was high consistency between CT diagnosis of N staging and pathological data(Kappa=0.640). In the no water-drinking group,there was medium consistency between CT diagnosis of N staging and pathological data(Kappa=0.510). The overall accuracies in two groups had no significant difference(P=0.426). Conclusion:There is a higher clinical value of application with 64-row spiral CT in the preoperative staging of gastric cancer,and drinking water before the CT scanning could increase the accuracy of the preoperative T staging,which has certain guiding significance on the choice of therapeutic regimen for gastric cancer.

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Huang Yong, Luo Dakui, Yang Li, Ge Yugang, He Yu, Jiang Mingkun, Fan Hao, Xu Zekuan. The influence of water ⁃ drinking and no water ⁃ drinking on the preoperative TN staging accuracy of gastric cancer before the 64⁃row spiral CT examination[J].,2018,(2):217-221.

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History
  • Received:June 03,2017
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  • Online: March 02,2018
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