摘要
目的 探讨结肠灌水经腹超声检查 (HS)对结肠癌术前肿瘤分期的临床意义。方法 依据大肠癌TNM分期标准 ,对 86例结肠癌分别采用HS法和常规超声检查进行术前肿瘤分期。结果 HS显示全部肿瘤 ,常规检查漏诊全部T1期肿瘤及 5 / 8的T2期肿瘤 ;HS和常规检查分期诊断的敏感性为 90 7%和 72 1% ;除T1期大肠癌外 ,两种方法对各分期判断的差异具有非常显著性 (P≤ 0 0 0 5 ) ;对各类型息肉恶变HS分期诊断的准确性( 87 5 % )比常规检查 ( 0 )明显提高。结论 HS法在结肠癌的术前分期诊断中有重要的临床意义 。
Objective To study the value of hydrocolonic sonography in colonic carcinoma′s preoperative staging.Methods In 86 colonic carcinoma patients,preoperative stage was defined by hydrocolonic sonography and conventional transabdominal sonography according to the TNM staging standard.Results Hydrocolonic sonography displayed all of tumor,while the conventional transabdominal sonography missed diagnosing all of T1 tumor and five eighth of T2 tumor.The diagnostic sensibility of hydrocolonic sonography and conventional transabdominal sonography was 90 7% and 72 1%,respectively.Except for T1 tumor,the two methods had obvious differences in staging colonic carcinomas ( P ≤0 005).The diagnostic specificity of hydrocolonic sonography for different kinds of polyps was significantly higher than that of conventional transabdominal sonography.Conclusion Hydrocolnic sonography has importamt value in colonic carcinoma′s preoperative staging.It can guide rational treatment.
出处
《中国药物与临床》
CAS
2003年第6期477-479,共3页
Chinese Remedies & Clinics
基金
山西省卫生厅基金资助项目 (2 0 0 14 7)
