直肠腔内超声检查对直肠癌的诊断价值  

Endolominal ultrasound in the assessment of patients with rectal cancer

作　　者：王泓 姚绍球[1,2,3] 陈进[1,2,3] 吴敏 

机构地区：[1]南京大学医学院临床学院 [2]南京军区南京总医院 [3]南京市鼓楼医院超声诊断科

出　　处：《南京大学学报（自然科学版）》1998年第2期204-206,共3页Journal of Nanjing University（Natural Science）

摘　　要：目的：通过腔内超声估价直肠癌浸润情况。方法：疑有直肠癌患者２１例，术前行直肠腔内超声检查。结果：经手术和病理证实为直肠癌患者２１例，直肠腔内超声癌灶检出率为９０．５％，超声判断癌灶浸润深度与病理诊断符合率为９４．７％。结论：直肠腔内超声检查是判断直肠癌浸润深度、侵及肠壁周径、纵行长度的理想手段。若每位直肠癌患者在术前常规行腔内超声检查，不仅为患者术式选择提供了客观依据，亦为患者的早期直肠癌行内镜局灶切除成为可能。Objectives:To assess rectal cancer with endoluminal ultrosound. Methods:Twentyone patients with rectal cancer were preoperatively examined with intrarectal sonography. Results: Twenty of 21 patients were diagnosed postoperatively by macro and microexamination as patients with rectal cancer,of which eighteen(90.5%) were verified by intraluminal ultrasound.Corrective rate of intraluminal ultrasound to assess the depth of rectal cancer was 94.7%. Conclusions:Intraluminal sonography is an ideal means of assessment of the depth and size of rectal cancer.Routinely examination of each patient with doubted rectal cancer not only supply the objective basis for the selection of patients operative methods,but also make possible local resection of early rectal cancer.

关 键 词：直肠癌 超声检查 诊断 

分 类 号：R735.370.4[医药卫生—肿瘤]