MSCT扫描联合肿瘤标志物对结肠癌术前诊断价值研究  

Value of MSCT Scan Combined with Tumor Marker Carcinoembr yonic Antigen in Preoperative Diagnosis of Colon Cancer

作　　者：陈明 陈云[1] 汪涛 CHEN Ming;CHEN Yun;WANG Tao(Department of Gastrointestinal Surgery,Chizhou People's Hospital,Chizhou 247100,Anhui Province,China)

机构地区：[1]池州市人民医院胃肠外科,安徽池州247100

出　　处：《中国CT和MRI杂志》2022年第2期137-139,共3页Chinese Journal of CT and MRI

基　　金：安徽省自然科学基金(1808085MH125)。

摘　　要：目的旨在分析MSCT扫描联合肿瘤标志物癌胚抗原(carcinoembryonic antigen,CEA)对结肠癌术前诊断价值。方法选取我院2017年4月至2019年2月收治的结肠癌患者59例,收集资料,参照ALCC/UICC标准进行病理分期,计算MSCT联合CEA对结肠癌TNM分期的诊断符合率。结果MSCT+CEA检查对结肠癌T_(1-2)、T_(3)、T_(4)分期的诊断符合率分别为80.00%(12/15)、88.88%(22/25)、94.73%(18/19),总诊断符合率为88.13%;MSCT+CEA检查对结肠癌N_(0)、N_(1)、N_(2)、N_(3)分期的诊断符合率分别为88.23%(15/17)、72.72%(8/11)、88.88%(16/18)、92.30%(12/13),总诊断符合率为86.44%;MSCT+CEA检查对结肠癌M0、M1分期的诊断符合率分别为84.00%(42/50)、88.88%(8/9),总诊断符合率为84.74%。结论MSCT扫描联合肿瘤标志物术前诊断结肠癌TNM符合率高,两者联合诊断可为临床治疗提供更为可靠的资料。Objective To analyze the value of MSCT scan combined with tumor marker carcinoembryonic antigen(CEA)in preoperative diagnosis of colon cancer.Methods 59 patients with colon cancer treated in our hospital from April 2017 to February 2019 were selected,and laboratory data and imaging data of 59 patients were collected.Data were collected and pathological staging was performed according to ALCC/UICC standards,and the diagnostic accuracy of MSCT combined with CEA for TNM staging of colon cancer was calculated.Results The diagnostic accuracy of MSCT+CEA for T_(1-2),T_(3),and T_(4) staging of colon cancer was 80.00%(12/15),88.88%(22/25)and 94.73%(18/19),respectively.The total diagnostic accuracy was 88.13%.The diagnostic accuracy of MSCT+CEA for N_(0),N_(1),N_(2),and N_(3) staging of colon cancer was 88.23%(15/17),72.72%(8/11),88.88%(16/18),and 92.30%,respectively.The total diagnostic accuracy was 86.44%.The diagnostic accuracy of MSCT+CEA for M0 and M1 staging of colon cancer was 84.00%(42/50)and 88.88%(8/9),respectively.The total diagnostic accuracy was 84.74%.Conclusion MSCT scan combined with tumor markers has higher accuracy in the diagnosis of TNM staging of colon cancer.The combined diagnosis of them can provide more reliable data for clinical treatment.

关 键 词：MSCT CEA 结肠癌 术前诊断 

分 类 号：R445.3[医药卫生—影像医学与核医学] R735.35[医药卫生—诊断学]