CT仿真结肠镜在老年患者中的临床应用  

The clinical value of CT virtual colonoscopy for old patients

作　　者：徐华[1] 陈易[1] 吴强[1] 戴鸿志[2] 计一丁 

机构地区：[1]江苏省吴江市第一人民医院消化科,江苏吴江215200 [2]江苏省吴江市第一人民医院影像科,江苏吴江215200

出　　处：《胃肠病学和肝病学杂志》2012年第5期453-454,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨CT仿真结肠镜在老年患者中的临床价值。方法 75例高度怀疑存在结直肠病变却不能耐受或不愿接受结肠镜检查的老年患者,进行CT仿真结肠镜检查。结果 CT仿真结肠镜显示存在阳性病变61例,包括肿瘤53例,其中16例患者最后得到了手术治疗,经手术及术后病理得到进一步证实;另有良性狭窄病变8例。8例良性病变及14例阴性结果病例中有11例在6个月后得到复查,病情均无明显进展。结论 CT仿真结肠镜对老年患者的结直肠病变诊断具有较高的临床价值,是结肠镜检查的重要补充。Objective To study the clinical value of CT virtual colonoscopy （CTVC） in the diagnosis of colorectal lesions for old patients. Methods CTVC was performed in 75 old patients with highly suspected colorectal lesions and untolerated or unwilling to undergo colonoscopy. Results 53 cases were diagnosed as tumors by CTVC, of which 16 pa- tients finally obtained the operation treatment and were further confirmed by postoperative pathology. 8 cases with benign lesions and 11 cases with negative results were reexamined after 6 months, but no progress was observed. Conclusion CTVC is a valuable technique in diagnosis of coloreetal lesions for old patients. It is an important complement to eolonos- copy.

关 键 词：仿真结肠镜 结直肠病变 体层摄影术 X线计算机 

分 类 号：R574.62[医药卫生—消化系统]