CAJ | 학술논문

目的：探讨结肠充气法 MSCT 成像诊断结肠癌 T、N 分期及对结肠系膜侵犯程度的临床价值。方法收集经手术病理确诊的结肠癌患者96例，术前均行结肠充气法 MSCT 常规及动态增强扫描，将所得数据利用 Advantage Workstation 4.5工作站结肠软件后处理，以获取多平面重建(MPR)和曲面重建(CPR)图像，并进行统计学分析。结果96例结肠癌患者术前 MSCT 成像和临床手术病理诊断 T、N 分期及对肠系膜侵犯程度比较的 Kappa 分析显示：2种诊断结果间具有较好的一致性(P <0.01)。结论结肠充气法 MSCT 成像较好地揭示结肠癌的术前≤T2~T4分期、N 分期和对结肠周围系膜的侵犯等情况，是制订临床治疗方案前重要的无创性检查方法。
목적：탐토결장충기법 MSCT 성상진단결장암 T、N 분기급대결장계막침범정도적림상개치。방법수집경수술병리학진적결장암환자96례，술전균행결장충기법 MSCT 상규급동태증강소묘，장소득수거이용 Advantage Workstation 4.5공작참결장연건후처리，이획취다평면중건(MPR)화곡면중건(CPR)도상，병진행통계학분석。결과96례결장암환자술전 MSCT 성상화림상수술병리진단 T、N 분기급대장계막침범정도비교적 Kappa 분석현시：2충진단결과간구유교호적일치성(P <0.01)。결론결장충기법 MSCT 성상교호지게시결장암적술전≤T2~T4분기、N 분기화대결장주위계막적침범등정황，시제정림상치료방안전중요적무창성검사방법。
Objective To investigate the clinical application value of multislice spiral computed tomography(MSCT)in colon in-flation with preoperatively stage of colon carcinoma including T staging,N staging and mesocolon invasion situation.Methods 96 cases with colon carcinoma confirmed by patholog were colected.All the patients were underwent MSCT scanning with pneumocolon (routine and dynamic enhancement scanning)preoperatively.The colon workstation three-dimensional images containing multiplanar reconstruction (MPR)image and curved planar reconstruction (CPR)images were obtained by Advantage Workstation 4.5.Statisti-cal analysis was completed.Results There is good consistency between multislice spiral computed tomography reoperative and path-ologic diagnosis postoperative about T staging,N staging and mesocolon invasion degree by Kappa analysis for all colon carcinoma patients(P <0.01).Conclusion The MSCT with pneumocolon is useful to reveal stage including T2 -T4 stage(contain T2 stage) and N stage and mesocolon invasion situation effectively before operation .It is an important non-invasive examination method before establishing clinical treatment plan.