摘要
目的探讨口服法和灌肠法多层螺旋CT肠道造影(MSCTE)在结直肠黏膜隆起性病变诊断中的差异。方法回顾性分析2021年1月至2023年2月本院收治的结肠病变患者60例的临床调查问卷、结肠镜及影像学资料,其中口服法28例,灌入法32例。结果口服法、灌入法MSCTE和结肠镜的可接受度评分平均4.22,3.36,3.25。检查前准备时间平均为3.85h,1.55h,4.20h。长径>2.0cm、>1.0cm,≤2.0cm、>0.5cm,≤1.0cm、长径<0.5cm的结肠隆起性病变口服法分别诊断(12/12)、(18/20)、(35/60)、(2/33)个,灌入法诊断(10/10)、(23/24)、(61/70)、(22/68)个。长径<0.5cm和长径>0.5cm,≤1.0cm的结肠隆起性病变灌入法明显优于口服法(P<0.05),其余两组不同检查前准备患者间无统计学差异(P>0.05)。结论灌入法MSCTE检查前准备时间短,诊断效果良好,优于口服法,可作为结直肠病变的筛查手段之一。
Objective To investigate the value and difference of multislice CT enterography in the diagnosis of colorectal mucosa.Methods The clinical questionnaires,colonoscopy and imaging data of 60 patients admitted to our hospital from January 2021 to February 2023 were reviewed,including 28 by oral method and 32 by perfusion method.Results The mean acceptance scores for oral,infused MSCTE and colonoscopy were 4.22,3.36,3.25,respectively.The average preparation time before the examination was 3.85h,1.55h,4.20h.Oral diagnosis>2.0cm,>1.0cm,≤2.0cm,>0.5cm,≤1.0cm and<0.5cm(12/12),(18/20),(35/60),(2/33),and(10/10),(23/24),(61/70),(22/68).The perfusion of colon onic lesions with long diameter<0.5cm and long diameter>0.5cm,≤1.0cm was significantly better than the oral method(P<0.05),and there was no statistical difference between the other two groups(P>0.05).Conclusion Penetration method MSCTE has a short preparation time,good diagnostic effect,better than oral method,and can be used as one of the screening methods for colorectal lesions.
作者
赵铁牛
戴峥
练远书
曹立军
刘婷婷
ZHAO Tie-niu;DAI Zheng;LIAN Yuan-shu;CAO Li-jun;LIU Ting-ting(Department of Diagnostic Radiology,The 924th Hospital of the Joint Logistic Support Force of the Chinese PLA,Guilin 541002,Guangxi Zhuang Autonomous Region,China;Department of General Surgery,The 924th Hospital of the Joint Logistic Support Force of the Chinese PLA,Guilin 541002,Guangxi Zhuang Autonomous Region,China;Department of Gastroenterology,The 924th Hospital of the Joint Logistic Support Force of the Chinese PLA,Guilin 541002,Guangxi Zhuang Autonomous Region,China)
出处
《中国CT和MRI杂志》
2023年第12期149-150,共2页
Chinese Journal of CT and MRI
基金
中国人民解放军联勤保障部队第九二四医院院内计划项目(GS2020FH07)
广西自治区卫健委科研课题(Z20210383)。
关键词
CT
结直肠
息肉
肠道造影
MSCTE
Colorectal
Polyp
Tomography Enterography
