结肠癌的MSCT分期诊断及腹腔镜切除术可行性研究  

MSCT staging in colon carcinoma and its value in laparoscopic colon surgery

作　　者：黎蕾[1,2] 成官迅[2] 张刚[2] 李国新[3] 

机构地区：[1]解放军第184医院影像科,335000 [2]南方医科大学南方医院影像中心 [3]南方医科大学南方医院普外科,510515

出　　处：《现代消化及介入诊疗》2009年第1期9-13,共5页Modern Interventional Diagnosis and Treatment in Gastroenterology

基　　金：广东省科技计划项目(2006B12901006);广州市科技攻关项目(2006Z3-E0571)

摘　　要：目的探讨MSCT对结肠癌分期及对腹腔镜结肠癌切除术的指导价值。方法对手术病理证实的56例结肠癌病例进行回顾性分析,将结肠癌的MSCT术前分期与术后病理分期进行对照研究。结果MSCT诊断结肠癌的敏感性为100%,对结肠癌分期的准确率为92.8%,对结肠癌浆膜面浸润诊断的灵敏度为96%,特异度为90%。结论MSCT可以较好地对结肠癌术前进行分期,对评估腹腔镜下结肠癌切除术的可行性有较高的临床应用价值。Objective To evaluate MSCT staging in colon carcinoma and the value in laparoscopic colon surgery. Methods MSCT data of 56 cases with colon carcinoma confirmed by pathology and clinical profile were retrospectively analyzed, and then MSCT staging and pathologic observation of colon carcinoma were compared. Results The sensitivity of MSCT diagnosis was 100%, and the accuracy of MSCT staging in colon carcinoma was 92.8% .The sensibility and specificity was 96% and 90% in the diagnosis of serous membrane infiltration, respectively. Conclusion MSCT is an effective method for the preoperative staging of colon carcinoma, and is of good clinical value in laparoscopic colon surgery.

关 键 词：体层摄影术 X线计算机 结肠癌 分期 腹腔镜 

分 类 号：R971.2[医药卫生—药品] R684[医药卫生—药学]