評價CT結腸造影掃描技術在結腸占位病變性質診斷中的價值

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評價CT結腸造影掃描技術在結腸占位病變性質診斷中的價值(論文5100字)
【摘要】目的:觀察和評價分析CT結腸造影技術在結腸占位病變性質鑒別中的應用價值,為臨床提供有效診斷方法和依據。方法:回顧性分析2014年1月至2016年12月于本院接受CT結腸造影技術治療的76例患者臨床診斷資料,以病理檢測作為金標準,評價CT結腸造影檢查技術在對結腸的占位病變中的診斷價值及對于結腸癌分期的臨床意義。結果:入組患者均符合CT結腸造影檢測技術的相關要求,患者分級中,I級有50例,II級有23例,III級僅有3例,患者檢測前腸道的準備情況合格率為97.37%,所有患者均為出現不良反應的癥狀。CT結腸造影檢查結果顯示,39例患者可確診為結腸癌,其中包含11患者同時出現腹腔淋巴結腫大,13例患者初診為炎性息肉,15例患者初診為腺瘤,6例患者初診為轉移癌,3例患者初診為淋巴瘤。病理檢查結果顯示結腸癌患者共39例,炎性息肉患者16例,腺瘤患者13例,轉移癌患者5例,淋巴瘤患者3例,以此作為金標準進行比較,CT結腸造影檢查對結腸癌分期結果的符合率為96.05%(73/76),經檢驗,P<0.05。2例病理檢測顯示炎性息肉患者CT結腸造影檢查結果為腺瘤,1例病理檢測顯示炎性息肉患者CT造影檢查為轉移癌,該檢測技術誤診率為3.41%。CT結腸造影檢查結果顯示,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,以病理分期診斷結果為金標準,CT結腸造影檢查的符合率為89.74%(35/39),經檢驗,K=0.874,P=0.000。CT結腸造影檢查中有2例B期患者被誤診為A期,2例B期患者被誤診為C1期,該檢測技術的誤診率為10.26%。結論:CT結腸造影技術操作簡單易行,實用價值及輔助診斷的價值更高,有利于臨床上輔助診斷結腸的占位病變。
【關鍵詞】CT結腸造影;結腸占位病變;結腸癌分期;鑒別
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

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