结直肠肿瘤性病变结肠镜与CT仿真内镜对照研究

Control Study of Colonoscope and Simulated Endoscope in Colorectal Carcinoma

目的:探讨螺旋CT结肠仿真内镜(CTVE)对高危人群进行筛选检出结肠肿瘤的应用价值。方法:回顾性分析我院经结肠镜检查活检和/或手术病理证实20例结肠病变高危人群的临床影像学资料。所有患者均行螺旋CT仿真内镜检查和纤维肠镜检查。结果:20例患者2例正常,18例有占位病灶(包括良性肿瘤和恶性肿瘤)共28个。CTVE共发现病灶21个(75%),14个直径10 mm以上病灶全部检出(100%),8个6~9 mm病灶检出5个(62.5%),6个5 mm以下病灶检出2个(33.3%)。CTVE拟诊结肠癌12个,结肠息肉8个,术前定性诊断准确率为90.4%。结论:结肠仿真内镜检查可部分取代结肠镜的有创检查,作为筛选结肠肿瘤的方法之一。

Objective:To invesitagate the value of CTVE to examine colorectal carcinoma in high risk group.Methods:Retrospective analyze of the clinical imageology data of twenty patients who had undergone coloscopy and pathology confirmed to be colopathy high risk group.All of the patients have undergone CTVE and intestinal fiberscopy.Results:In twenty patients,two was normal,eighteen persons had tumor including benign tumor and malignant tumor,and the total mount of tumors was twenty-eight.In all of the toumors CTVE ...