摘要
目的 :探讨螺旋CT在直、结肠癌诊断和分期中的价值。方法 :对 35例经手术证实的直、结肠癌患者 ,回顾分析其CT表现 ,并与术后病理结果对照 ,分析螺旋CT诊断与分期的准确性。结果 :CT显示肠壁增厚 35例、肠腔内肿块 2 1例、肠腔狭窄和形态不规则 2 3例、浆膜面模糊 17例、淋巴结转移 15例。CT对直肠、结肠癌总的分期准确性达 86 %。结论 :螺旋CT检查对中晚期直。
Objective: To discuss and evaluate the preoperative spiral CT in the diagnosis and staging of rectum and colon cancer. Methods: All of 35 cases with rectum and colon cancer confirmed by pathology underwent spiral CT examination and its CT appearances were analyzed retrospectively and compared with surgico-pathological results. Results: CT images showed wall thickening of rectum and colon in all cases, intraluminal mass in 21 cases, irregular and stenotic lumen in 23 cases, serosa surface invasion in 17 cases and lymphadenopathy ( ≥15 mm) in 15 cases. The total accuracy of staging of rectum and colon cancer by spiral CT was 86%, according to pathology. Conclusion:The preoperative spiral CT study is very useful in the diagnosis and staging of rectum and colon cancer , as well as in determining its surgical eligibility and its prognosis.
出处
《中国临床医学》
2004年第4期655-656,共2页
Chinese Journal of Clinical Medicine
