中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
18期
7-9
,共3页
结肠癌致肠梗阻%CT诊断%X线平片诊断%征象%病因
結腸癌緻腸梗阻%CT診斷%X線平片診斷%徵象%病因
결장암치장경조%CT진단%X선평편진단%정상%병인
Intestinal obstruction caused by colon cancer%CT diagnosis%X-ray diagnosis%Signs%Pathogeny
目的：探讨CT诊断对结肠癌致肠梗阻的准确率，分析其临床价值。方法选择2011年1月-2012年1月该院肛肠外科收治的150例结肠癌致肠梗阻病人作为该研究的观察对象。均经手术病理检测确诊病情。全部病人术前都给予CT和X线平片检查，术后将影像资料与病理结果进行分析，对照两种方式诊断正确率的高低。结果 CT扫描诊断为肠梗阻的准确率是92.67%（139/150），X线平片准确率是64.67%（97/150），CT扫描对肠梗阻的检出率显著高于X线平片（P＜0.05）。CT查出病因是结肠癌的概率为100%，X线为12.37%（12/97）。两种方式对肠梗阻的病因检出率比较，差异有统计学意义（P＜0.05）。结论CT检查对结肠癌致肠梗阻具有较高的检出率，且能查出病因、病灶部位、梗阻程度等，为临床治疗提供较可靠的依据。
目的：探討CT診斷對結腸癌緻腸梗阻的準確率，分析其臨床價值。方法選擇2011年1月-2012年1月該院肛腸外科收治的150例結腸癌緻腸梗阻病人作為該研究的觀察對象。均經手術病理檢測確診病情。全部病人術前都給予CT和X線平片檢查，術後將影像資料與病理結果進行分析，對照兩種方式診斷正確率的高低。結果 CT掃描診斷為腸梗阻的準確率是92.67%（139/150），X線平片準確率是64.67%（97/150），CT掃描對腸梗阻的檢齣率顯著高于X線平片（P＜0.05）。CT查齣病因是結腸癌的概率為100%，X線為12.37%（12/97）。兩種方式對腸梗阻的病因檢齣率比較，差異有統計學意義（P＜0.05）。結論CT檢查對結腸癌緻腸梗阻具有較高的檢齣率，且能查齣病因、病竈部位、梗阻程度等，為臨床治療提供較可靠的依據。
목적：탐토CT진단대결장암치장경조적준학솔，분석기림상개치。방법선택2011년1월-2012년1월해원항장외과수치적150례결장암치장경조병인작위해연구적관찰대상。균경수술병리검측학진병정。전부병인술전도급여CT화X선평편검사，술후장영상자료여병리결과진행분석，대조량충방식진단정학솔적고저。결과 CT소묘진단위장경조적준학솔시92.67%（139/150），X선평편준학솔시64.67%（97/150），CT소묘대장경조적검출솔현저고우X선평편（P＜0.05）。CT사출병인시결장암적개솔위100%，X선위12.37%（12/97）。량충방식대장경조적병인검출솔비교，차이유통계학의의（P＜0.05）。결론CT검사대결장암치장경조구유교고적검출솔，차능사출병인、병조부위、경조정도등，위림상치료제공교가고적의거。
Objective To investigate the accuracy of CT in the diagnosis of intestinal obstruction caused by colon cancer and ana-lyze its clinical value. Methods 150 cases of patients with intestinal obstruction caused by colon cancer admitted in Department of Anus & Intestine Surgery of our hospital from January, 2011 to January, 2012 were selected as the object of observation of this study. The disease of the patients was confirmed by operation pathology. All patients were given CT and X-ray examination before the surgery, and after the surgery, the image data and pathological results were analyzed, and the diagnostic accuracy of these two ways was compared. Results The accuracy rate of CT scan for the diagnosis of intestinal obstruction is 92.67% (139/150), and that of X-ray plain film is 64.67% (97/150), the detection rate of intestinal obstruction of CT scan is significantly higher than that of X-ray plain film (P<0.05). The probability of CT identifying the cause of colon cancer is 100%, while that of X-ray is 12.37%(12/97) , the difference in detection rate of pathogeny of intestinal obstruction between the two ways is statistically significant(P<0.05). Conclusion CT examination has a high detection rate of intestinal obstruction caused by colon cancer, and it can find out the pathogeny, the lesion site, the degree of obstruction, thereby providing a more reliable basis for clinical treatment.
