64层螺旋CT重建诊断结肠占位性疾病中的应用价值

Application Value of 64 Slice Spiral CT Reconstruction in the Diagnosis of Space Occupying Diseases of the Colon

目的:分析64层螺旋CT重建诊断结肠占位性病变的临床应用价值。方法:选取2014年8月-2016年2月该院诊治的130例结肠占位性病变患者为研究对象,随机分为观察组和对照组两组,每组65例患者;观察组患者实施64层螺旋CT重建进行诊断,对照组患者实施常规CT检查,观察比较两组患者检查准确度、结肠息肉检出数目及医护人员操作过程中准确性、实用性和简单性评分。结果:观察组患者检查准确61例(准确度93. 8%),对照组患者检查准确53例(准确度81. 5%)(P <0. 05);观察组未检/漏诊率为1. 5%,对照组未检/漏诊率为18. 5%(P <0. 05);对于息肉大小> 5 mm的检出数目两组对比差异无统计学意义(P> 0. 05);息肉大小≤5mm的检出数目观察组显著高于对照组,两组对比差异有统计学意义(P <0. 05)。对于准确性和实用性评分比较,观察组医护人员均显著高于对照组医护人员(P <0. 05)。结论:与常规CT诊断比较,采用64层螺旋CT重建诊断结直肠占位性病变的效果更佳,检出率更高,未检/漏诊率降低,对于结直肠占位性病变的诊断具有重要意义,值得临床推荐。

Objective:To analyze the clinical value of64slice spiral CT reconstruction in the diagnosis of space occupying lesions of the colon.Methods:130 cases of colon from August2014to February 2016 the hospital diagnosis and treatment of the lesions as the research object,randomly divided into observation group and control group two groups,65patients in each group;the observation group patients were diagnosed by64slice spiral CT reconstruction,control the implementation of routine CT examination group,the two groups were observed and compared to check the accuracy of the degree of colonic polyps detected number and medical personnel during the operation accuracy,practicality and simplicity of score.Results:in the observation group,check the accuracy of 61 cases(accuracy 93.8%),control group patients correctly in53cases(accuracy81.5%)(P<0.05);observe the diagnosis rate of1.5%group did not check/drain,the control group did not check the rate of missed diagnosis was 18.5%/(P<0.05);for the polyp size,detection the number of5mm between the two groups showed no significant difference(P>0.05);polyp size less than5mm the detection number of observation group was significantly higher than the control group,there were statistically significant differences between the two groups(P<0.05).For the accuracy and practicability score,the medical staff in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:compared with the conventional CT diagnosis,u-sing 64 slice spiral CT reconstruction in the diagnosis of colorectal lesions better,higher detection rate,undetected/low misdiagnosis rate,is of great significance for the diagnosis of colorectal lesions,worthy of recommendation.