直肠癌临床术前分期诊断中CT影像的价值研究  

Value Research Of CT Imaging in Preoperative Diagnosis Of Rectal Cancer

作　　者：韩中山[1] 国玉东[1] HAN Zhong-shan;GUO Yu-dong(The Fifth People's Hospital of Jinan,Jinan,Shandong,250000)

机构地区：[1]济南市第五人民医院,山东济南250000

出　　处：《智慧健康》2020年第27期5-6,共2页Smart Healthcare

摘　　要：目的研究应用CT影像进行直肠癌术前分期诊断的价值。方法从2019年2月至2020年2月我院直肠癌患者中随机抽取40例,收集患者术前CT影像检查结果和术后病理诊断结果,作回顾性分析。结果经本文研究,术前CT影像检出T1-T2期15例(37.5%),T3期14例(35.0%),T4期9例(22.5%)。与术后病理诊断对比,无明显差异(P>0.05)。以病理诊断为金标准,术前CT诊断检出准确率达95.0%,无统计学意义(P>0.05)。T1~T2期患者CT诊断有1例(6.3%)误诊,T3期有1例(6.7%)分期错误,无统计学意义(P>0.05)。结论对比病理诊断,CT影像诊断准确率达到95%,具有较高准确性,术前评估直肠癌患者病情分期,可作为参考依据,指导临床治疗,以提高治疗效率。Objective To study the value of CT imaging in preoperative staging diagnosis of rectal cancer.Methods 40 cases of rectal cancer patients in our hospital from February 2019 to February 2020 were chosen,the results of preoperative CT imaging and postoperative pathological diagnosis were collected for retrospective analysis.Results According to the study,15 cases (37.5%) were in T1-T2 stage,14 cases (35.0%) in T3 stage,and 9 cases (22.5%) in T4 stage based on preoperative CT images,there was no significant difference from postoperative pathological diagnosis,(P>0.05).With pathological diagnosis as gold standard,the accuracy of preoperative CT diagnosis was 95.0%,with no statistical significance,(P>0.05).One case (6.3%) was misdiagnosed by CT in T1-T2 stage,and 1 case (6.7%) in T3 stage,with no statistical significance,(P>0.05).Conclusion Compared with pathological diagnosis,the accuracy of CT imaging diagnosis was 95%,which is very high.Preoperative assessment of rectal cancer stage can be applied as reference to guide clinical treatment and improve treatment effect.

关 键 词：直肠癌 术前分期 CT影像 

分 类 号：R735.37[医药卫生—肿瘤]