Multi-slice spiral CT for evaluation of imaging diagnosis of rectal cancer.doc

 PAGE \* MERGEFORMAT 6 Multi-slice spiral CT for evaluation of imaging diagnosis of rectal cancer Author: Jiang Shi-Zhong Zeng Xiaowei Zheng Yongming [Keywords:] colorectal cancer multi-slice spiral CT Rectal cancer is a common gastrointestinal malignancy, second only to gastric cancer. The traditional digital rectal examination, colonoscopy and double contrast barium enema examination is the main means, but only limited to observation of rectal mucosa can not be observed outside the description of the intestinal wall and lumen Situation. With the extensive use of multi-slice CT, cancer diagnosis and preoperative staging of attention, accuracy increased gradually. By gathering in August 2000 to 2007, nine menstrual pathological examination confirmed 156 cases of rectal cancer were retrospectively analyzed to explore the performance of colorectal cancer multi-slice spiral CT and its clinical diagnostic value. Report are as follows. A clinical data 1.1 General Information This group of 156 cases in 105 cases of male and female 51 cases; age of 26 to 83 years of age; a median age of 62. Of 121 cases of major clinical symptoms of blood in the stool, change in bowel habits 114 cases, 56 cases of anal falling feeling, while accompanied by abdominal pain, defecation is not a net, weight loss and other symptoms. 18d ~ 2 years duration. 1.2 Inspection Method Use of GE’s Lightspeed SCT and Siemens plus 4 SCT scanner. Check the day fasting and cleansing enema, check the drinking 2% pre-2h diatrizoate diluted 500 ~ 1000ml, with filling intestine. Scan ahead 2% diatrizoate diluted 300 ~ 400ml enema, so that the rectum filling, scanning the former 10min intramuscular 654-2 needle 20mg. Supine position using scanning, scan conditions for 120kV, 200 ~ 220mA, matrix 512 * 512, slise of 5 ~ 10mm, pich 1.0. Enhanced scan, using automated high-pressure injector through the cubital vein bolus injection of non-ionic contrast agent Ousu 100ml, rate of 2.5 ~ 3ml / s, delay