中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2009年
12期
994-997
,共4页
陈秀华%许乐%蒋文莉%徐光%周新平%唐永莲%丁惠清%石蕾
陳秀華%許樂%蔣文莉%徐光%週新平%唐永蓮%丁惠清%石蕾
진수화%허악%장문리%서광%주신평%당영련%정혜청%석뢰
结肠肿瘤%超声检查%多普勒%彩色%结肠镜检查%对比研究
結腸腫瘤%超聲檢查%多普勒%綵色%結腸鏡檢查%對比研究
결장종류%초성검사%다보륵%채색%결장경검사%대비연구
Colonic neoplasms%Ultrasonography,doppler,color%Colonoscopy%Comparative study
目的 探讨彩色多普勒超声榆查在老年人进展期结肠癌诊断中的价值及其与电子结肠镜检查的比较. 方法经彩色多普勒超声对69例老年结肠癌患者进行诊断,并将诊断结果与电子结肠镜检查及手术病理检查结果进行对比研究. 结果与手术病理诊断及定位诊断比较,彩色多普勒超声对老年人结肠癌定性诊断符合率为95.6%(66/69),电子结肠镜为91.3%(63/69),2种检查定性诊断符合率的差异无统计学意义(精确概率P>0.05);彩色多普勒超声对老年人结肠癌定位诊断符合率为91.3%(63/69),电子结肠镜为94.2%(65/69),2种检查定位诊断符合率的差异无统计学意义(χ~2=0.431,P>0.05).彩色多普勒超卢对患者瘤体内部小同程度的血流信号均可探出,其检出率为100%,对腹腔淋巴结转移、肝转移、周围组织侵犯及远端结肠转移诊断的符合率分别为87.5%、100%、84.6%及100%. 结论彩色多普勒超声对老年人结肠癌的诊断具有较高的应用价值,可作为老年人进展期结肠癌诊断的一项无创性检查方法.彩色多普勒超声与电子结肠镜检查相互结合,对老年人结肠癌的诊治可提供更可靠的依据.
目的 探討綵色多普勒超聲榆查在老年人進展期結腸癌診斷中的價值及其與電子結腸鏡檢查的比較. 方法經綵色多普勒超聲對69例老年結腸癌患者進行診斷,併將診斷結果與電子結腸鏡檢查及手術病理檢查結果進行對比研究. 結果與手術病理診斷及定位診斷比較,綵色多普勒超聲對老年人結腸癌定性診斷符閤率為95.6%(66/69),電子結腸鏡為91.3%(63/69),2種檢查定性診斷符閤率的差異無統計學意義(精確概率P>0.05);綵色多普勒超聲對老年人結腸癌定位診斷符閤率為91.3%(63/69),電子結腸鏡為94.2%(65/69),2種檢查定位診斷符閤率的差異無統計學意義(χ~2=0.431,P>0.05).綵色多普勒超盧對患者瘤體內部小同程度的血流信號均可探齣,其檢齣率為100%,對腹腔淋巴結轉移、肝轉移、週圍組織侵犯及遠耑結腸轉移診斷的符閤率分彆為87.5%、100%、84.6%及100%. 結論綵色多普勒超聲對老年人結腸癌的診斷具有較高的應用價值,可作為老年人進展期結腸癌診斷的一項無創性檢查方法.綵色多普勒超聲與電子結腸鏡檢查相互結閤,對老年人結腸癌的診治可提供更可靠的依據.
목적 탐토채색다보륵초성유사재노년인진전기결장암진단중적개치급기여전자결장경검사적비교. 방법경채색다보륵초성대69례노년결장암환자진행진단,병장진단결과여전자결장경검사급수술병리검사결과진행대비연구. 결과여수술병리진단급정위진단비교,채색다보륵초성대노년인결장암정성진단부합솔위95.6%(66/69),전자결장경위91.3%(63/69),2충검사정성진단부합솔적차이무통계학의의(정학개솔P>0.05);채색다보륵초성대노년인결장암정위진단부합솔위91.3%(63/69),전자결장경위94.2%(65/69),2충검사정위진단부합솔적차이무통계학의의(χ~2=0.431,P>0.05).채색다보륵초로대환자류체내부소동정도적혈류신호균가탐출,기검출솔위100%,대복강림파결전이、간전이、주위조직침범급원단결장전이진단적부합솔분별위87.5%、100%、84.6%급100%. 결론채색다보륵초성대노년인결장암적진단구유교고적응용개치,가작위노년인진전기결장암진단적일항무창성검사방법.채색다보륵초성여전자결장경검사상호결합,대노년인결장암적진치가제공경가고적의거.
Objective To explore the diagnostic values of color Doppler flow imaging (CDFI) for the elderly patients with advanced colon cancer and to compare it with electronic colonoscopy (EC). Methods A total of 69 elderly patients were diagnosed as colon cancer using CDFI, and the results of CDFI were compared with EC results and surgical pathology. Results Compared with surgical pathology, the diagnosis accordance rate of CDFI for colon cancer was 95. 6% (66/69), while EC was 91.3%(63/69)(P > 0. 05). The location diagnosis rate of CDFI was 91. 3% (63/69) , while EC was 94. 2%(65/69)(χ~2 =0. 431,P>0. 05). At the same time, the detection rate of the different levels of blood flow signals within tumor by CDFI was 100%. And the diagnosis accordance rates of CDFI for abdominal lymph node metastasis, liver metastasis, damage to surrounding tissue and distal metastasis were 87.5%, 100%, 84.6% and 100%, respectively. Conclusions CDFI has a high value for the diagnosis of colon cancer in elderly patients, and it could be used as a screening method. The application of CDFI and EC for colon cancer in the elderly is reliable.
