多层螺旋ct在结肠癌术前诊断及分期中的应用价值分析.docVIP

多层螺旋CT在结肠癌术前诊断及分期中的应用价值分析 全国彪 张康胜 温志玲 欧春燕 陈俏倩 广东省湛江市第二人民医院医学影像科 广东省湛江市第二人民医院药剂科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 分析多层螺旋CT (MSCT) 在结肠癌术前诊断及分期中的应用价值。方法 选择2013年8月至2016年8月经我院手术病理确诊为结肠癌患者78例, 所有患者术前均接受MSCT扫描检查。以手术病理检查结果为金标准, 评估MSCT诊断浆膜外侵犯、淋巴结转移的灵敏度、特异度、准确度, 分析结肠癌MSCT特征及分期的准确性。结果 患者肠壁呈不规则增厚, 或呈不规则形或分叶状肠腔肿块。MSCT诊断浆膜外侵犯与淋巴结转移的灵敏度、特异度、准确度分别为97%、85%、94%;65%、96%、86%。术前MSCT分期结肠癌的总体准确度为95%。结论 MSCT在结肠癌术前诊断与分期中具有显著的应用价值, 能够为临床制定合理的手术方案提供指导。 关键词： 结肠肿瘤; 体层摄影术, 螺旋计算机; 诊断; 收稿日期：2017-06-20 Application value of multi-slice spiral CT in preoperative diagnosis and staging of colon cancer Quan Guobiao Zhang Kangsheng Wen Zhiling Ou Chunyan Chen Qiaoqian Imaging Room, The Second Hospital of Zhanjiang, Guangdong; Abstract： Objective To analyze the application value of multi-slice spiral CT (MSCT) in preoperative diagnosis and staging of colon cancer. Methods Seventy-eight patients confirmed with colon cancer by operative pathology in our hospital from August 2013 to August 2016 were selected, and all of them were given MSCT scanning. The op-erative and pathological findings were taken as gold standard. The sensitivity, specificity and accuracy of MSCT in di-agnosis of serosal invasion and lymph node metastasis were assessed. The MSCT characteristics of colon cancer and accuracy of staging were analyzed. Results The intestinal wall of patients showed as irregular thickening, or irregular shape and lobulated intraluminal mass.The sensitivity, specificity and accuracy of MSCT in diagnosis of serosal inva-sion and lymph node metastasis were 97%, 85%, 94%; 65%, 96%, 86%. The overall accuracy of preoperative MSCT staging of colon cancer was 95%. Conclusion MSCT in preoperative diagnosis and staging of colon cancer has significant application value, which can provide guidance for making reasonable operation plan. Keyword： Colonic neoplasms; Tomagraphy, spiral computed; Diagnosis; Received： 2017-06-20 既往临床诊断结肠癌主要采用结肠气钡造影与内镜检查, 其中结肠镜检查准确