超声造影用于结肠癌术前分期临床价值分析.docVIP

超声造影用于结肠癌术前分期临床价值分析 　　[摘要] 目的 分析超?造影用于结肠癌术前分期的临床价值。 方法 选取我院2014年5月～2016年5月收治的结肠癌患者64例，对其进行超声造影和病理检查，然后对二者对结肠癌淋巴结转移、术前分期的临床价值进行统计分析。 结果 64例患者中，超声造影N0 24例，N1 40例；病理检查N0 20例，N1 44例。超声造影和病理检查对结肠癌淋巴结转移的诊断总符合率93.8%，其中对N0的诊断符合率为83.3%，N1 100.0%。超声造影和病理检查对结肠癌淋巴结转移N1的诊断符合率显著高于N0（P0.05）。 结论 超声造影用于结肠癌术前分期具有较高的临床价值，值得临床推广使用。 　　[关键词] 超声造影；结肠癌；术前分期；临床价值 　　[中图分类号] R445.1；R735.35 [文献标识码] B [文章编号] 1673-9701（2017）14-0103-03 　　[Abstract] Objective To analyze the clinical value of contrast-enhanced ultrasonography in preoperative staging of colon cancer. Methods 64 patients with colon cancer who were admitted to our hospital from May 2014 to May 2016 were selected， and the patients were given contrast-enhanced ultrasonography and pathological examination. The clinical value of the two methods in the colon cancer lymph node metastasis and preoperative staging was statistically analyzed. Results Of the 64 patients， 24 cases were in stage N0 and 40 cases were in stage N1 by contrast-enhanced ultrasonography. 20 cases were in stage N0 and 44 cases were in stage N1 by pathological examination. The total compliance rate of contrast-enhanced ultrasonography and pathological examination in colon cancer lymph node metastasis was 93.8%. The compliance rate was 83.3% in stage N0 and 100.0% in stage N1. The diagnosis compliance rate of contrast-enhanced ultrasonography and pathological examination of colorectal cancer lymph node metastasis in stage N1 was significantly higher than stage N0（P0.05）. Conclusion Contrast-enhanced ultrasonography has a high clinical value for preoperative staging of colon cancer， which is worthy of clinical promotion and application. 　　[Key words] Contrast-enhanced ultrasonography； Colon cancer； Preoperative staging； Clinical value 　　近年来，结肠癌具有越来越高的发病率及越来越小的发病年龄[1]。X线、经腹B超扫描、结肠镜、消化道造影等均属于其常规检查项目，但通常情况下，经腹B超扫描无法获得令人满意的检查效果，在临床诊断结直肠癌的工作中具有极为有限的应用，发生这一现象是因为胃肠道属于空腔脏器，有大量气体或肠潴留物存于其内[2]。本研究分析了超声造影用于结肠癌术前分期的临床价值，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取我院2014年5月～2016年5月收治的结肠癌