CAJ | 학술논문

目的：评价多层螺旋CT（MSCT）对结肠癌合并肠壁穿孔的诊断价值。方法：回顾性分析21例经手术证实的结肠癌合并穿孔的临床及 MSCT 资料。结果：本组21例中，X 线腹平片发现腹部游离气体15例， CT见腹部游离气体18例；21例均发现结肠管壁不同程度的增厚，伴有肠梗阻8例。 CT术前正确诊断肠穿孔18例（85．7％）；术前正确诊断肠癌合并穿孔16例（76．1％）。结论：MSCT 对结肠癌合并肠穿孔具有较高的术前诊断价值。
목적：평개다층라선CT（MSCT）대결장암합병장벽천공적진단개치。방법：회고성분석21례경수술증실적결장암합병천공적림상급 MSCT 자료。결과：본조21례중，X 선복평편발현복부유리기체15례， CT견복부유리기체18례；21례균발현결장관벽불동정도적증후，반유장경조8례。 CT술전정학진단장천공18례（85．7％）；술전정학진단장암합병천공16례（76．1％）。결론：MSCT 대결장암합병장천공구유교고적술전진단개치。
Objective:To evaluate the diagnosis values of multislice spiral CT (MSCT) in perforated colonic cancer. Methods: The clinical and MSCT imaging findings of 21 patients with perforated colonic cancer were analyzed retrospectively. Results: Among the 21 cases, plain abdominal radiographs depicted free air in 15 cases and MSCT depicted free air in 18 cases. Colonic wall thickening were found in 21 cases and bowel obstruction were found in 8 cases. Among the 21 cases, presence of perforation was correctly preoperative diagnosed in 85.7% (18/21) and the presence of perforated cause of colonic cancer was correctly preoperative diagnosed in 76.1% (16/21) on CT imaging. Conclusion: MSCT is useful for the diagnosis of perforated colonic cancer.