CAJ | 학술논문

目的探讨直肠腔内超声(TRUS)对直肠癌浸润深度的术前评估价值.方法对58例经病理证实为直肠癌的患者术前行TRUS检查,针对TRUS图像应用T分期标准进行分期,并与术后病理T分期进行对照.结果 58例直肠癌患者术前TRUS检查总的诊断准确率为82.76％(48/58),T1～T4期TRUS诊断准确率分别为94.83％ (55/58)、86.21％ (50/58)、86.21％ (50/58)及98.28％(57/58).TRUS分期与病理分期的一致性较好.结论应用TRUS对直肠癌浸润深度进行术前评价,准确率较高,有助于临床医生术前制定合理的治疗方案.
목적 탐토직장강내초성(TRUS)대직장암침윤심도적술전평고개치.방법 대58례경병리증실위직장암적환자술전행TRUS검사,침대TRUS도상응용T분기표준진행분기,병여술후병리T분기진행대조.결과 58례직장암환자술전TRUS검사총적진단준학솔위82.76％(48/58),T1～T4기TRUS진단준학솔분별위94.83％ (55/58)、86.21％ (50/58)、86.21％ (50/58)급98.28％(57/58).TRUS분기여병리분기적일치성교호.결론 응용TRUS대직장암침윤심도진행술전평개,준학솔교고,유조우림상의생술전제정합리적치료방안.
Objective To evaluate the role of transrectal ultrasonography (TRUS) in preoperative evaluation of the depth of invasion in rectal carcinoma.Methods Fifty-eight cases with rectal carcinoma confirmed by pathology underwent TRUS before surgery.Preoperative staging was performed using the T staging system on the basis of TRUS sonogram.The T staging results by TRUS were compared with those of postoperative pathologic staging.Results The preoperative overall accuracy rate of TRUS was 82.76％ (48/58).The diagnostic accuracy rates in T1-T4 stage by TRUS were 94.83％(55/58),86.21％(50/58),86.21％ (50/58) and 98.28％ (57/58).Staging rectal carcinoma with TRUS showed better consistency with postoperative pathologic staging.Conclusions TRUS has a better accuracy in preoperative evaluation of the depth of invasion in rectal carcinoma.TRUS is an important factor in rational treatment.