中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
26期
166-168
,共3页
原发性小肠肿瘤%螺旋CT检查%胃肠造影
原髮性小腸腫瘤%螺鏇CT檢查%胃腸造影
원발성소장종류%라선CT검사%위장조영
Primary intestinal tumor%Spiral CT%Gastrointestinal contrast radiography
目的：探讨螺旋CT与胃肠道造影对原发性小肠肿瘤的诊断价值。方法选择唐山市中医医院2011年10月~2014年10月收治的经病理诊断确诊的原发性小肠肿瘤患者46例,均经手术治疗。术前均经螺旋CT与胃肠道造影检查,比较两种方法对小肠肿瘤的检出率及诊断的准确率。结果胃肠造影对小肠疾病的诊断结果院46例患者中,7例向腔外生长的淋巴瘤、9例腔外型平滑肌肉瘤、4例腔外型间质瘤及1例息肉患者未检出,检出率为54.3%(25/46)；检出的25例患者中,有1例间质瘤、1例平滑肌肉瘤误诊为腺癌。胃肠造影诊断小肠肿瘤的准确性为50.0%(23/46)。螺旋CT对小肠疾病的诊断结果院46例患者中,有1例间质瘤、1例息肉患者未检出,检出率为95.7%(44/46)；检出的44例患者螺旋CT诊断结果与病理诊断结果均相符,诊断准确率为95.7%(44/46)。两种方法对小肠肿瘤检出率、诊断准确度比较,差异均有统计学意义(均P<0.05)。结论螺旋CT对原发性小肠肿瘤的检出率和诊断准确度均优于胃肠道造影,且操作简单,患者易接受,值得临床推广应用。
目的：探討螺鏇CT與胃腸道造影對原髮性小腸腫瘤的診斷價值。方法選擇唐山市中醫醫院2011年10月~2014年10月收治的經病理診斷確診的原髮性小腸腫瘤患者46例,均經手術治療。術前均經螺鏇CT與胃腸道造影檢查,比較兩種方法對小腸腫瘤的檢齣率及診斷的準確率。結果胃腸造影對小腸疾病的診斷結果院46例患者中,7例嚮腔外生長的淋巴瘤、9例腔外型平滑肌肉瘤、4例腔外型間質瘤及1例息肉患者未檢齣,檢齣率為54.3%(25/46)；檢齣的25例患者中,有1例間質瘤、1例平滑肌肉瘤誤診為腺癌。胃腸造影診斷小腸腫瘤的準確性為50.0%(23/46)。螺鏇CT對小腸疾病的診斷結果院46例患者中,有1例間質瘤、1例息肉患者未檢齣,檢齣率為95.7%(44/46)；檢齣的44例患者螺鏇CT診斷結果與病理診斷結果均相符,診斷準確率為95.7%(44/46)。兩種方法對小腸腫瘤檢齣率、診斷準確度比較,差異均有統計學意義(均P<0.05)。結論螺鏇CT對原髮性小腸腫瘤的檢齣率和診斷準確度均優于胃腸道造影,且操作簡單,患者易接受,值得臨床推廣應用。
목적：탐토라선CT여위장도조영대원발성소장종류적진단개치。방법선택당산시중의의원2011년10월~2014년10월수치적경병리진단학진적원발성소장종류환자46례,균경수술치료。술전균경라선CT여위장도조영검사,비교량충방법대소장종류적검출솔급진단적준학솔。결과위장조영대소장질병적진단결과원46례환자중,7례향강외생장적림파류、9례강외형평활기육류、4례강외형간질류급1례식육환자미검출,검출솔위54.3%(25/46)；검출적25례환자중,유1례간질류、1례평활기육류오진위선암。위장조영진단소장종류적준학성위50.0%(23/46)。라선CT대소장질병적진단결과원46례환자중,유1례간질류、1례식육환자미검출,검출솔위95.7%(44/46)；검출적44례환자라선CT진단결과여병리진단결과균상부,진단준학솔위95.7%(44/46)。량충방법대소장종류검출솔、진단준학도비교,차이균유통계학의의(균P<0.05)。결론라선CT대원발성소장종류적검출솔화진단준학도균우우위장도조영,차조작간단,환자역접수,치득림상추엄응용。
Objective To study the diagnostic value of spiral CT and gastrointestinal contrast radiography in diagnosis of primary small intestinal tumor. Methods 46 patients with primary intestinal tumor were selected as subjects, who were diagnosed by postoperative pathology and hospitalized in Traditional Chinese Medicine Hospital of Tangshan City from October 2011 to October 2014. All patients underwent spiral CT and gastrointestinal contrast radiography exami-nation before surgery. The detection rate and diagnosis accuracy rate of two examination methods were compared. Re-sults Results of gastrointestinal radiography in the diagnosis of small intestinal tumor were as follows:21 cases were not detected, including 7 cases of lymphoma to extraluminal growth, 9 cases of leiomyosarcoma, 4 cases of stromal tumors and 1 case of polyps;25 cases were detected in all patients, including 2 cases with mesenchymoma and leiomyosarcoma misdiagnosed as adenocarcinoma retrospectively. The detection rate was and the accuracy rate of gastrointestinal radiog-raphy in the diagnosis of small intestinal tumors were 54.3% (25/46) and 50.0% (23/46) respectively. Results of spiral CT in diagnosis of small intestinal tumor were as follows:2 cases were not detected, including 1 case of stromal tumors, 1 case of polyps. 44 cases were detected and were consistent with the results of pathological diagnosis. The detection rate and the accuracy rate of spiral CT in the diagnosis of small intestinal tumors were both 95.7%(44/46). There were statistical significance differences in detection rate and accuracy rate between spiral CT and gastrointestinal radiogra-phy in diagnosis of primary small intestinal tumor (P< 0.05). Conclusion The detection rate and the accuracy rate of spiral CT are better than those of gastrointestinal radiography in diagnosis of primary small intestinal tumor. Spiral CT examination has the advantages of simple operation, easy to be accepted by patients and is worthy of clinical application.
