低剂量CT结肠成像对腹部结肠外病变的诊断价值及其临床意义  

Study the diagnostic value and clinical significance of low-dose CT colonography for extra-abdominal colonic lesions

作　　者：黄柏锋[1] 蓝博文[1] 林翠君[1] 

机构地区：[1]惠州市中心人民医院放射科,广东惠州516001

出　　处：《现代医用影像学》2017年第3期530-532,共3页Modern Medical Imageology

摘　　要：目的:评价低剂量CT结肠成像对腹部结肠外病变的诊断价值及其临床意。方法:资料选取我院2014年2月-2016年2月收治的94例腹部结肠外病变患者予以回顾性分析,设计分组时将老年人群设为研究组(61例),将非老年人群设为对照组(33例),并根据所有患者的腹部结肠外病变不同程度共分为E1-E4四级,观察并分析两组发病情况。结果:研究组E2腹部结肠外病变的总体发病率比对照组高(P<0.05);两组腹部结肠外病变E1级共31例,其中正常30例,副脾1例,E2级共53例,E3级共4例,E4级共6例,研究组5例E4级病变分别为1例肝脏转移,1例脾动脉瘤,1例膀胱癌,1例脊索瘤,1例胰尾部胰腺癌;对照组E4级患者1例为肾癌。结论:腹部结肠外病变患者于临床予以低剂量CT结肠成像检查可取得较高价值,且诊断无创、安全,具推广价值。此外,腹部结肠外病变患者随年龄增长发病率呈显著提高趋势,故需高度重视老年人群腹部脏器病变情况。Purpose： To evaluate the clinical value of low-dose CT colonography in the diagnosis of abdominal extra-colonic lesions. Materials and Methods： A retrospective study was conducted on 94 cases of abdominal extracranial lesions admitted in our hospital from February 2014 to February 2016. The elderly population was set as the study group（ 61 cases）,and the non-elderly population was Control group（ 33 cases）,and according to all patients with different degrees of abdominal colonic lesions were divided into E1-E4 four,then observed and analysis the incidence of the two groups. Results： The total incidence of E2 abdominal extracranial lesions in the study group was significantly higher than that in the control group（ P 〈0. 05）. There were 31 cases of E1 lesions in the abdominal colon in the two groups,including 30 cases of normal and 1 case of the secondary spleen,E3 grade 4 cases,E4 grade 6 cases,the study group 5 cases of E4 grade lesions： 1 case of liver metastasis,1 case of splenic aneurysm,1 case of bladder cancer,1 case of chordoma and 1 case of pancreatic tail pancreatic cancer; One patient with E4 grade in the control group was renal cancer. Conclusion： The patients with abdominal extracranial lesions given Low-dose CT colonoscopy could obtain high clinical value,and the diagnosis of non-invasive,safe,with the promotion of value.In addition,the incidence of abdominal colon disease patients with age increased significantly increased the trend,it was necessary to attach great importance to the elderly population of abdominal organ disease.

关 键 词：低剂量CT结肠成像 诊断价值 腹部结肠外病变 临床意义 

分 类 号：R574[医药卫生—消化系统] R816.5[医药卫生—内科学]