中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
10期
18-19,20
,共3页
卜庆丰%张杰%胡平%符福文%林建团%陈敏明
蔔慶豐%張傑%鬍平%符福文%林建糰%陳敏明
복경봉%장걸%호평%부복문%림건단%진민명
低张水灌肠%结肠癌%螺旋CT
低張水灌腸%結腸癌%螺鏇CT
저장수관장%결장암%라선CT
Low-tension water enteroclysis%Colon cancer%MDCT
目的:探讨低张水灌肠螺旋CT双期增强扫描对结肠癌的诊断价值及临床应用,提高结肠癌的CT诊断及临床分期的准确性。方法:回顾性分析本院经手术、结肠镜活检病理证实的结肠癌45例,讨论其CT表现。结果:结肠癌CT表现为结肠壁增厚,软组织肿块,管腔不规则狭窄,管壁僵硬及局部管壁的异常强化;可清晰地显示病变的部位、大小、肠壁侵犯的深度、周围组织侵犯及淋巴结或远处脏器转移;定位准确率100%,定性准确率95.6%。结论:低张水灌肠螺旋CT双期增强扫描对结肠癌的诊断、术前分期、临床治疗方案的制定、估计预后等有重要的意义。
目的:探討低張水灌腸螺鏇CT雙期增彊掃描對結腸癌的診斷價值及臨床應用,提高結腸癌的CT診斷及臨床分期的準確性。方法:迴顧性分析本院經手術、結腸鏡活檢病理證實的結腸癌45例,討論其CT錶現。結果:結腸癌CT錶現為結腸壁增厚,軟組織腫塊,管腔不規則狹窄,管壁僵硬及跼部管壁的異常彊化;可清晰地顯示病變的部位、大小、腸壁侵犯的深度、週圍組織侵犯及淋巴結或遠處髒器轉移;定位準確率100%,定性準確率95.6%。結論:低張水灌腸螺鏇CT雙期增彊掃描對結腸癌的診斷、術前分期、臨床治療方案的製定、估計預後等有重要的意義。
목적:탐토저장수관장라선CT쌍기증강소묘대결장암적진단개치급림상응용,제고결장암적CT진단급림상분기적준학성。방법:회고성분석본원경수술、결장경활검병리증실적결장암45례,토론기CT표현。결과:결장암CT표현위결장벽증후,연조직종괴,관강불규칙협착,관벽강경급국부관벽적이상강화;가청석지현시병변적부위、대소、장벽침범적심도、주위조직침범급림파결혹원처장기전이;정위준학솔100%,정성준학솔95.6%。결론:저장수관장라선CT쌍기증강소묘대결장암적진단、술전분기、림상치료방안적제정、고계예후등유중요적의의。
Objective:To access the diagnosis value of MDCT double period enhance scanning presentations of colon cancer with low-tension water enteroclysis and its clinical application. To improve the accuracy of colon cancer CT diagnostic and clinical staging. Method:Clinical data of 45 patients with colon cancer were analyzed and their CT presentations were discussed. These patients were diagnosed by operations or colonoscopy biopsy. Result:The CT presentations included:deeper colon wall,soft issue mass,colon lumen irregular stenosis,stiffness and abnormal enhancement of the colon wall. It could clearly show the lesion size and location,depth of wall invasion,surrounding tissue invasion,metastasis to lymph node and distant organs. The accuracy of location diagnosis was 100%,the accuracy of qualitative diagnosis was 95.6%. Conclusion:MDCT double period enhance scanning presentations of colon cancer with low-tension water enteroclysis has a great clinical value to the diagnosis of colon cancer,clinical staging and clinical treatment plan formulation.