摘要
目的:评定经直肠超声充盈造影诊断结直肠癌的应用意义。方法:随机选择2014年1月-2016年12月本院收治的100例直肠癌高危人群作为研究对象,均先行空腹超声检查,再经肛门注入造影剂填充结直肠诊断,以病理作为金标准,对比两种检查方法的诊断肿瘤的准确率。结果:经直肠超声造影诊断肿瘤71例,与病理对照准确率达86.59%(71/82);经空腹超声诊断肿瘤24例,与病理对照准确率达29.27%(24/82);经直肠超声造影诊断肿瘤的准确率明显高于经空腹超声,差异有统计学意义(P<0.05)。经直肠超声造影的肠管管壁回声反应肿块清晰,显示肠管管壁侵犯范围和层次明显优于经空腹超声。结论:经直肠超声充盈造影诊断结直肠肿瘤高危人群具有重要意义,可以提高诊断直肠癌肿瘤的准确率,加强对直肠和周边正常组织关系的了解,为结直肠癌术前诊断和术后观察提供更多的信息参考。
Objective： To evaluate the clinical significance of transrectal uhrasonography in the diagnosis of colorectal cancer.Method： One hundred patients with high risk of rectal cancer admitted in our hospital from January 2014 to December 2016 were randomly selected as study subjects, all the patients were examined by ultrasonography, and then were filled with contrast agent, used pathology as the gold standard, the diagnostic accuracy of the two methods was compared.Result： Transrectal uhrasonography in the diagnosis of tumors in 71 cases, compared with pathology, the accuracy rate was 86.59% （ 71/82 ） ; diagnosis of 24 cases of tumor by uhrasonography, compared with pathology, the accuracy rate was 29.27% （24/82） ; the accuracy rate of transrectal ultrasonography in the diagnosis of tumors was significantly higher than that of fasting uhrasound, the difference was statistically significant （ P〈0.05 ） .The echo response of the intestinal wall by transrectal ultrasound, the extent and level of invasion of the intestinal wall were significantly better than that of the fasting ultrasound. Conclusion： Transrectal uhrasonography is of great significance in the diagnosis of colorectal cancer, it can improve the accuracy of diagnosis of rectal cancer, to strengthen the understanding of the relationship between the rectum and the surrounding normal tissue, to provide more information for preoperative diagnosis and postoperative observation of colorectal cancer.
出处
《中国医学创新》
CAS
2017年第9期93-95,共3页
Medical Innovation of China
关键词
结直肠超声充盈造影
诊断
结直肠癌
意义
Colorectal uhrasonography
Diagnosis
Colorectal cancer
Significance
