腹部恶性肿瘤患者应用不同CT检查模式诊断肿瘤腹腔转移的效能对比

Comparison of the Efficacy of Different CT Modes in the Diagnosis of Abdominal Metastasis in Patients with Abdominal Malignancy

目的 分析CT与增强CT在诊断腹部肿瘤腹腔转移中的价值及准确性。方法 选取2019年5月—2022年8月于本院接受诊治的腹部肿瘤腹腔转移患者64例,所有患者均行CT与增强CT检测,以临床病理学为“金标准”,比较两种检测方式诊断腹部肿瘤准确性、腹部肿瘤腹腔转移的准确性以及两种诊断方式检测最小病灶的情况。结果 增强CT腹部肿瘤的总诊断准确率78.13%,CT腹部肿瘤的总诊断准确率60.94%,增强CT的总诊断准确率显著高于CT总诊断准确率,差异有显著统计学意义(P<0.05)。增强CT诊断腹腔转移总准确率82.81%,CT诊断腹腔转移总准确率59.38%,增强CT的总准确率显著高于CT总准确率,差异有显著统计学意义(P<0.05)。增强CT诊断出的病灶的最小病灶宽度、最小病灶长度以及最小的病灶面积均显著小于CT诊断,差异有显著统计学意义(P<0.05)。结论 增强CT可有效提高腹部肿瘤腹腔转移的诊断准确性,为临床诊断提供重要的参考依据,利于患者的治疗和预后康复。

Objective To analyze the value and accuracy of CT and enhanced CT in the diagnosis of abdominal tumor metastasis.Methods 64 patients with abdominal tumor metastasis were selected from May 2019 to August 2022 in our hospital.All patients were examined by CT and enhanced CT.Clinical pathology was used as the"gold standard"to compare the accuracy of the two methods in the diagnosis of abdominal tumor.The accuracy of abdominal tumor metastasis and the detection of the smallest lesions by the two diagnostic methods were compared between the two groups.Results The total diagnostic accuracy of enhanced CT was 78.13%.The total diagnostic accuracy of enhanced CT was 60.94%,and the total diagnostic accuracy of enhanced CT was significantly higher than that of CT,the difference was statistically significant(P<0.05).The total accuracy of enhanced CT in the diagnosis of abdominal metastases was 82.81%;The total accuracy of CT in the diagnosis of abdominal metastasis was 59.38%,and the total accuracy of enhanced CT was significantly higher than that of CT,the difference was statistically significant(P<0.05).The minimum lesion width,minimum lesion length and minimum lesion area of the lesions diagnosed by enhanced CT were significantly lower than those diagnosed by CT,and the differences were statistically significant(P<0.05).Conclusion Enhanced CT can effectively improve the diagnostic accuracy of abdominal tumor with abdominal metastasis,provide important reference value for clinical diagnosis,and facilitate the treatment and prognosis of patients.