摘要
为评估会阴结合直肠超声(TRUS)造影检查与直肠多层螺旋CT(MSCT)对结直肠癌诊断准确度的差异,选择2016年4月至2018年3月我院收治的86例结直肠癌患者为本次研究对象,采用随机抽样的方法将患者分为对照组和观察组,每组各43例。其中,对照组采用直肠多层螺旋CT检查,观察组采用会阴结合直肠超声造影检查。分别对2组患者的肿瘤直径、肿瘤侵犯深度、淋巴结转移个数和淋巴结直径水平进行检查和评估。结果显示,观察组患者肿瘤直径达到(4.6±1.2)cm,而对照组为(4.2±1.3)cm,组间比较差异有统计学意义(P<0.05);观察组淋巴结直径为(8.8±1.1)mm,而对照组为(8.4±1.3)mm,观察组明显优于对照组,差异有统计学意义(P<0.05)。结果表明,会阴结合直肠超声造影检查结直肠癌的准确度高于直肠多层螺旋CT的准确度,并且对结直肠癌患者手术方案的制定具有重要的指导意义。
This study was to evaluate and compared the distinction in diagnosing colorectal carcinoma with TRUS(transrectal ultrasound) and with MSCT(muhi-slice CT),enrolled 86 cases who admitted and re- ceived therapy in authors hospital(2016-04 to 2018-03) and randomly divided them into control group and observation one(43 cases for each),which the former's patients received MSCT inspection,the latter re- ceived TRUS, then inspected and evaluated both group's following issues such as neoplasm's diameter,inva- sive depth of tumor,the number of malignated lymph nodes and lymph node's diameter level.As results,in neoplasm's diameter there was statistical difference between the latter and the former[(4.6 ± 1.2) cm vs (4.2±1.3) cm, P 〈0.05] ;in lymph node's diameter there was also statistical difference[(8.8± 1.1) mm vs (8.4±1.3) mm, P 〈0.05].Resuhs show that TRUS has higher accuracy than MSCT in colorectal carcino- ma inspection, thus has important directive significance for developing operative schemes for colorectal car- cinoma.
作者
陈道芒
CHEN Dao-mang(Ultrasound Dept.,the First Affiliated Hospital to Nanyang High Medical School,Nanyang,Henan 47300)
出处
《中国肛肠病杂志》
2018年第6期7-9,共3页
Chinese Journal of Coloproctology