多层螺旋CT检查对原发性小肠肿瘤的诊断价值.docVIP

多层螺旋CT检查对原发性小肠肿瘤的诊断价值 　　[摘要] 目的 探讨多层螺旋CT检查对原发性小肠肿瘤的诊断价值。 方法 选择2011年1月～2014年10月玉田县医院收治的原发性小肠肿瘤患者63例，均手术治疗，并进行病理诊断。术前对所有患者均行多层螺旋CT检查。将多层螺旋CT检查结果与病理诊断结果进行一致性对比分析。 结果 63例患者手术病理诊断结果：小肠腺癌15例，淋巴癌19例，胃肠道间质瘤13例，脂肪瘤9例，神经内分泌肿瘤7例。螺旋CT检查诊断结果：小肠腺癌15例，淋巴癌20例，胃肠道间质瘤14例，脂肪瘤9例，神经内分泌肿瘤5例。两种方法诊断结果的一致性较好，Kappa≥0.70。螺旋CT诊断原发性小肠肿瘤的准确率为96.8%（61/63）。 结论 多层螺旋CT对原发性小肠肿瘤的诊断效果好，操作简单，患者痛苦小，易于接受，值得临床推广应用。 　　[关键词] 原发性小肠肿瘤；螺旋CT检查；病理检查 　　[中图分类号] R814.42 [文献标识码] A [文章编号] 1673-7210（2015）09（a）-0121-03 　　[Abstract] Objective To investigate the diagnostic value of multislice spiral CT （MSCT ）in diagnosis of primary small intestinal tumors. Methods 63 patients with small intestinal tumors who were hospitalized in Yutian County Hospital from Janury 2011 to October 2014 were selected as study subjects. All patients were underwent MSCT examination before surgery and biopsy pathological diagnosis after surgery. The coincidence rate was analyzed between CT results and pathological diagnosis. Results Pathological diagnosis of all patients showed that， 15 cases with primary intestinal adenocarcinoma， 19 cases with intestinal lymphoma， 13 cases with small intestinal stromal tumors， 9 cases with intestinal lipoma and 7 cases with neuroendocrine tumors. The diagnoses of MSCT were as follows：15 cases were with primary intestinal adenocarcinoma， 20 cases with intestinal lymphoma， 14 cases with small intestinal stromal tumors， 9 cases with intestinal lipoma and 5 cases with neuroendocrine tumors. Consistency test results showed that the two diagnostic methods were good consistency （Kappa≥0.70）. The coincidence rate of MSCT in diagnosis of primary tumors of the small intestine was 96.8%（61/63）. Conclusion MSCT examination has the advantages of high degree of accuracy， simple operation， little pain， easy to be accepted by patients and is worthy of clinical application. 　　[Key words] Primary tumors of the small intestine； Multislice spiral CT； Pathology 　　原发性小肠肿瘤是临床少见病，仅占胃肠道肿瘤的5%[1]，且症状隐蔽，早期缺乏典型的临床症状和体征，极易漏诊和误诊