能谱CT血管造影对壶腹部周围癌及其术前分期的诊断价值研究  

Diagnostic Value of Energy Spectrum CT Angiography for Periampullary Carcinoma and Preoperative Staging

作　　者：苑乐添 林祥涛[1] YUAN Letian;LIN Xiangtao(Department of Radiology,Shandong Provincial Hospital,Jinan,Shandong Province,250021 China)

机构地区：[1]山东省立医院放射科,山东济南250021

出　　处：《世界复合医学》2024年第2期28-31,共4页World Journal of Complex Medicine

摘　　要：目的分析能谱CT血管造影对壶腹部周围癌及其术前分期的诊断价值。方法方便选取2021年2月—2023年8月山东省立医院收治的88例疑似壶腹部周围癌患者作为研究对象,对其展开常规增强CT扫描检查后,再进行能谱CT血管造影检查,以病理诊断结果作为金标准,观察两种检查诊断方式的诊断结果、对壶腹部周围癌的诊断效能及术前分期诊断结果符合率。结果病理诊断结果显示阳性病灶和阴性病灶分别为70例和18例,常规增强CT扫描诊断为58例和30例,能谱CT血管造影检查诊断为70例和18例。能谱CT血管造影检查诊断灵敏度(97.14%)、特异度(88.89%)、准确度(95.45%)明显高于常规增强CT扫描(71.43%、55.56%、68.18%),差异有统计学意义(χ^(2)=17.473、4.985、22.000,P均<0.05)。能谱CT血管造影检查术前T2期和T3期的诊断结果符合率明显高于常规增强CT扫描,差异有统计学意义(χ^(2)=5.439、4.615,P均<0.05)。结论在壶腹部周围癌患者的临床检查诊断中,能谱CT血管造影诊断价值高,不仅可以及时发现患者的阳性病灶,而且对患者术前T分期判断也可以带来一定指导作用,对临床治疗方案的制订提供一定的科学依据。Objective To analyze the diagnostic value of energy spectrum CT angiography on periampullary carcinoma and preoperative staging.Methods 88 patients with suspected periampullary carcinoma admitted to Shandong Provincial Hospital from February 2021 to August 2023 were conveniently selected as study objects,and were examined by conventional enhanced CT scanning and then underwent energy spectrum CT angiography.The diagnostic results of the two modes of examination and the diagnostic efficacy of different modes of examination in diagnosing periampullary carcinoma were observed using the pathological diagnostic results as the gold standard.At the same time,the conformity rate of the preoperative staging diagnostic results of periampullary carcinoma by means of different examinations was observed.Results Pathologic diagnosis showed that there were 70 cases of positive lesions and 18 cases of negative lesions,58 cases of positive lesions and 30 cases of negative lesions were diagnosed by conventional enhanced CT scanning,and 70 cases of positive lesions and 18 cases of negative lesions were diagnosed by spectral CT angiography.The diagnostic sensitivity(97.14%),specificity(88.89%),and accuracy(95.45%)of energy spectrum CT angiography were higher than those of conventionally enhanced CT scanning(71.43%,55.56%and 68.18%),the differences were statistically significant(χ^(2)=17.473,4.985,22.000,all P<0.05).The compliance rate of diagnostic results of preoperative T2 and T3 stages in energy spectrum CT angiography was higher than that of conventional enhanced CT scanning,the differences were statistically significant(χ^(2)=5.439,4.615,both P<0.05).Conclusion In the clinical examination and diagnosis of patients with periampullary carcinoma of jugular abdomen,the diagnostic value of spectral CT angiography is high,which can not only timely detect the positive lesions of the patients,but also bring certain guidance to the judgment of preoperative T staging of the patients,and bring certain scientific basis for the formulatio

关 键 词：能谱CT血管造影 壶腹部周围癌 术前分期 诊断价值 

分 类 号：R736[医药卫生—肿瘤]