评价CT结肠造影扫描技术在结肠占位病变性质诊断中的价值

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评价CT结肠造影扫描技术在结肠占位病变性质诊断中的价值(论文5100字)
【摘要】目的:观察和评价分析CT结肠造影技术在结肠占位病变性质鉴别中的应用价值,为临床提供有效诊断方法和依据。方法:回顾性分析2014年1月至2016年12月于本院接受CT结肠造影技术治疗的76例患者临床诊断资料,以病理检测作为金标准,评价CT结肠造影检查技术在对结肠的占位病变中的诊断价值及对于结肠癌分期的临床意义。结果:入组患者均符合CT结肠造影检测技术的相关要求,患者分级中,I级有50例,II级有23例,III级仅有3例,患者检测前肠道的准备情况合格率为97.37%,所有患者均为出现不良反应的症状。CT结肠造影检查结果显示,39例患者可确诊为结肠癌,其中包含11患者同时出现腹腔淋巴结肿大,13例患者初诊为炎性息肉,15例患者初诊为腺瘤,6例患者初诊为转移癌,3例患者初诊为淋巴瘤。病理检查结果显示结肠癌患者共39例,炎性息肉患者16例,腺瘤患者13例,转移癌患者5例,淋巴瘤患者3例,以此作为金标准进行比较,CT结肠造影检查对结肠癌分期结果的符合率为96.05%(73/76),经检验,P<0.05。2例病理检测显示炎性息肉患者CT结肠造影检查结果为腺瘤,1例病理检测显示炎性息肉患者CT造影检查为转移癌,该检测技术误诊率为3.41%。CT结肠造影检查结果显示,A期9例、B期4例、C1期18例、C2期4例和D期4期。病理Dukes分期中A期7例、B期8例、C1期16例、C2期4例和D期4例,以病理分期诊断结果为金标准,CT结肠造影检查的符合率为89.74%(35/39),经检验,K=0.874,P=0.000。CT结肠造影检查中有2例B期患者被误诊为A期,2例B期患者被误诊为C1期,该检测技术的误诊率为10.26%。结论:CT结肠造影技术操作简单易行,实用价值及辅助诊断的价值更高,有利于临床上辅助诊断结肠的占位病变。
【关键词】CT结肠造影;结肠占位病变;结肠癌分期;鉴别
The value of CT colonography in the diagnosis of colon occupying lesion
[Abstract]Objective: To observe and evaluate the value of CT angiography in the identification of colonic lesions and provide effective diagnostic methods and basis for clinical diagnosis.. METHODS: A retrospective analysis of the clinical diagnostic data of 76 patients treated with CT colonoscopy in our hospital from January 2014 to December 2016 was reviewed. Pathological examination was used as a gold standard to evaluate CT colonization The diagnostic value of lesions and the clinical significance of colon cancer staging. Results: There were 50 patients with grade I, 23 cases of grade II, 3 cases of grade III and 3 cases of grade III. The qualified rate of preparation was 97.37%, all patients were symptoms of adverse reactions. CT colonoscopy results showed that 39 patients were diagnosed with colon cancer, including 11 patients with simultaneous abdominal lymph nodes, 13 patients were newly diagnosed with inflammatory polyps, 15 patients were newly diagnosed adenoma, 6 patients were newly diagnosed Cancer, 3 patients were newly diagnosed with lymphoma. Pathological examination showed that 39 cases of colon cancer patients, 16 cases of inflammatory polyps, 13 cases of adenoma patients, 5 cases of metastatic cancer patients, 3 cases of lymphoma patients, as a gold standard for comparison, CT colonoscopy on the colon The coincidence rate of cancer staging was 96.05% (73/76). After examination, P <0.05. CT colorectal examination 2 cases of inflammatory polyps were misdiagnosed as adenoma, 1 case of inflammatory polyps was misdiagnosed as metastatic cancer, the detection technique misdiagnosis rate was 3.41%. CT colorectal examination results showed that A, 9 cases, B 4 cases, C1 18 cases, C2 4 cases and D period 4. Pathological Dukes stage A in 7 cases, B 8 cases, C1 16 cases, C2 4 cases and D 4 cases, the pathological stage of the results of the gold standard, CT colony examination coincidence rate of 89.74% (35 / 39), tested, K = 0.874, P = 0.000. CT colorectal examination in 2 cases of B patients were misdiagnosed as A phase, 2 cases of B patients were misdiagnosed as C1 period, the detection technique of misdiagnosis rate of 10.26%. Conclusion: CT colonic angiography is simple, practical and worthy of diagnosis, which is helpful for the clinical diagnosis of colonic lesions.
[Key words] CT colonic angioplasty; colonic lesions; colon cancer staging;identify