CAJ | 학술논문

目的：研究64排螺旋 CT 对结直肠癌合并肠梗阻的诊断价值.方法：回顾性分析我院在2010年5月至2013年12月收治的56例经手术病理证实为结直肠癌合并肠梗阻患者的临床资料及 CT 表现,所有患者均行64排螺旋 CT 平扫加增强加三维重建,后将患者的 CT 资料与病理结果进行比较分析.结果：54例患者 CT 诊断为结直肠癌,结肠癌诊断率为96．4％,53例诊断合并肠梗阻,肠梗阻诊断率为94．6％,与病理检查结果差异不大,无统计学意义(P＞0．05).结论：多排螺旋 CT 检查可准确了解结直肠癌的病变部位,肿块分期、邻近侵犯及远处转移情况,伴随肠梗阻的程度及性质,为手术治疗提供准确的影像资料,降低误诊率.
목적：연구64배라선 CT 대결직장암합병장경조적진단개치.방법：회고성분석아원재2010년5월지2013년12월수치적56례경수술병리증실위결직장암합병장경조환자적림상자료급 CT 표현,소유환자균행64배라선 CT 평소가증강가삼유중건,후장환자적 CT 자료여병리결과진행비교분석.결과：54례환자 CT 진단위결직장암,결장암진단솔위96．4％,53례진단합병장경조,장경조진단솔위94．6％,여병리검사결과차이불대,무통계학의의(P＞0．05).결론：다배라선 CT 검사가준학료해결직장암적병변부위,종괴분기、린근침범급원처전이정황,반수장경조적정도급성질,위수술치료제공준학적영상자료,강저오진솔.
Objective:To study the 64 row spiral CT in the diagnosis of colorectal cancer with value.Methods:Retrospective analysis in May 20 1 0 to December 20 1 3 were 5 6 cases confirmed by surgery pathology for colorectal cancer with intestinal obstruction inpatients with clinical data and CT manifestations,al patients were 64 row helical CT scan and enhanced with 3 d reconstruction,after compared with the pathological results of the CT data analysis.Result:54 cases of CT diagnosis of patients with colorectal cancer,colon cancer diagnostic rate was 9 6 .4%,5 3 cases to diagnose intestinal obstruction,inG testinal obstruction diagnostic rate was 94.6 %,the dif erence is not big,with pathological findings no statistical significance (P > 0.05).Conclusion:Multiple row helical CT examination can accurately unG derstand the pathological changes of colorectal cancer,tumor staging,adjacent invasion and distant metastasis,accompanied with intestinal obstruction,the degree and nature ofprovide accurate image data for surgical treatment,reduce the misdiagnosis rate.