上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (9): 1172-.doi: 10.3969/j.issn.1674-8115.2010.09.037

• 综述 • 上一篇    下一篇

人体脂肪分布的CT术前评估对胃癌手术短期结局的影响

朱正伦, 综述；李 琛, 朱正纲, 审校   

  1. 上海交通大学 医学院附属瑞金医院普外科, 上海 200025
  • 出版日期:2010-09-25 发布日期:2010-09-27
  • 作者简介:朱正伦（1984—）, 男, 住院医师, 硕士；电子信箱: big8424@126.com。

Effects of adipose tissue distribution evaluated by CT before operation on early surgical outcomes of gastric cancer

ZHU Zheng-lun, reviewer；LI Chen, ZHU Zheng-gang, reviser   

  1. Department of Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Online:2010-09-25 Published:2010-09-27

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摘要：

人体腹腔内脂肪分布与胃癌根治术+D2淋巴结清扫术后的短期结局之间有着紧密的联系。但目前常用的有关肥胖的体表测量方式不能准确地反映出人体腹腔内脂肪组织的分布。近年发展起来的多探头螺旋CT（MDCT）容积扫描方法可直接进行脂肪的定量测量，是评价人体脂肪组织含量与分布的准确测量方法。该文综述了MDCT对人体脂肪分布的术前评估对胃癌手术短期结局的影响。

关键词: 胃癌, 脂肪分布, 多探头螺旋CT, 手术短期结局

Abstract:

There is a close relationship between intra-abdominal adipose tissue distribution and early outcomes of gastrectomy with D2 lymph node dissection for gastric cancer. However, the common body surface measurement related to obesity can not accurately reveal the intra-abdominal adipose tissue distribution. The newly-developed multidetector-row computed tomography (MDCT) can quantitatively measure the adipose tissue distribution. The effects of adipose tissue distribution evaluated by MDCT before operation on early surgical outcomes of gastric cancer are reviewed in this paper.

Key words: gastric cancer, adipose tissue distribution, multidetector-row computed tomography, early surgical outcome