螺旋CT三期增强扫描对结直肠癌的诊断效果  

Diagnostic performance of triple-phase spiral contrast-enhanced computed tomography scan in colorectal cancer

作　　者：王亚军 钱伟军 李立 Wang Yajun;Qian Weijun;Li Li(Department of Medical Imaging,Kaifeng Central Hospital,Henan 475000,China)

机构地区：[1]河南省开封市中心医院医学影像科,475000

出　　处：《实用医技杂志》2022年第6期576-578,共3页Journal of Practical Medical Techniques

摘　　要：目的探讨结直肠癌诊断中采用螺旋CT三期增强扫描的临床效果。方法随机选取我院于2019年10月至2020年10月收治的42例结直肠癌患者,并回顾其影像学资料,将病理学检查结果作为标准,探讨螺旋CT三期增强扫描对结直肠癌的诊断效果。结果T分期中,螺旋CT三期增强扫描对T_(1~2)分期诊断准确率为92%(11/12),T_(3)为87%(13/15),T_(4)为93%(14/15)。N分期中,N_(0)诊断准确率为92%(22/24),N_(1)为82%(9/11),N_(2)为100%(7/7)。M分期中,M_(0)分期诊断准确率为94%(31/33),M_(1)为89%(8/9)。结论螺旋CT三期增强扫描用于诊断结直肠癌,其效果突出,可以更好分期定性结直肠癌,进而为临床治疗方案选择提供依据。Objective To investigate the clinical efficiency of triple-phase spiral contrast-enhanced com-puted tomography(CT)scan in diagnosing colorectal cancer.Methods Randomly included in this study were 42 patients with colorectal cancer treated in our hospital between October 2019 and October 2020.The patients were reviewed for the imaging data.Using pathological findings as the gold standard,the diagnostic performance of triplephase spiral contrastenhanced CT scan in diagnosing colorectal cancer was evaluated.Results In T staging,the diagnostic accuracy of triple-phase spiral contrast-enhanced CT was 92%(11/12)for stages T_(1-2),87%(13/15)for T_(3),and 93%(14/15)for T_(4);in N staging,the diagnostic accuracy was 92%(22/24)for stage N0,82%(9/11)for N_(1),and 100%(7/7)for N_(2);in M staging,the diagnostic accuracy staging was 94%(31/33)for stage M0 and 89%(8/9)for M_(1).Conclusion Triple-phase spiral contrast-enhanced CT offers remarkable per-formance in diagnosing colorectal cancer in terms of more accurate staging which greatly underpins selection of clinical treatment protocol.

关 键 词：体层摄影术 螺旋计算机 结直肠肿瘤 放射摄影术 分期 

分 类 号：R735.34[医药卫生—肿瘤]