CT术前诊断结肠癌以及术后结肠癌复发的临床价值

Clinical Value of Preoperative Diagnosis of Colon Cancer and Recurrence of Colon Cancer After CT

目的:探讨在结肠癌术前诊断、术后复查中,CT的应用价值。方法:选取我院接诊经病理组织切片确诊的60例结肠癌患者,对其行病理组织诊断和16排CT诊断,以病理组织诊断结果为参考标准,对两组诊断结果进行对比分析。结果:病理组织术前分型诊断结果为8例Ⅳ期,12例Ⅲ期,26例Ⅱ期,14例Ⅰ期;CT术前病理分型正确病例为8例Ⅳ期,12例Ⅲ期,22例Ⅱ期,12例Ⅰ期,正确率为90.00%;术后约5个月复查,22例复发,复发率为36.67%。22例术后复发患者病理组织进行TNM分期诊断,6例Ⅳ期,6例Ⅲ期,6例Ⅱ期,4例Ⅰ期;经CT术后病理分型正确病例为6例Ⅳ期,6例Ⅲ期,4例Ⅱ期,2例Ⅰ期,正确率为81.82%。结论:在结肠癌术前诊断和术后复发诊断中,CT具有较高的正确率,特别是针对病理分期为Ⅲ期与Ⅳ期的病例,其术前诊断和术后复发诊断正确率均达到了100%。

Objective:To investigate the value of CT in preoperative diagnosis and postoperative reexamination of colon cancer.Methods:60 cases of colon cancer diagnosed by pathological tissue section were selected in our hospital. The pathological tissue diagnosis and 16 row CT diagnosis were performed. The diagnostic results of pathological tissue were used as the reference standard, and the results of two groups were compared and analyzed.Results:The preoperative diagnosis of pathological tissue was 8 Ⅳ, 12 Ⅲ, 26 Ⅱ, 14 Ⅰ, 8 cases Ⅳ, 12 Ⅲ, 22 Ⅱ, 12 Ⅰ, and 90%;5 months after operation, recurrence in 5 months, recurrence rate of 36.67%. 2211 cases of postoperative recurrent pathological tissue were diagnosed by TNM staging, 6 Ⅳ, 6 Ⅲ, 6 Ⅱ and 4 Ⅰ;6 cases were Ⅳ, 6 Ⅲ, 4 Ⅱ, 2 Ⅰ, and the correct rate was 81.82%.Conclusion:In the diagnosis of preoperative and postoperative recurrence of colon cancer, CT has a high correct rate, especially for the cases of stage Ⅲ and Ⅳ, and the correct rate of preoperative diagnosis and postoperative recurrence is up to 100%.