CT诊断结肠癌致肠梗阻30例临床分析

A Clinical Analysis of CT for Diagnosing 30 Cases of Intestinal Obstruction Induced by Colonic Cancer

为分析CT在结肠癌致肠梗阻诊断中的应用价值,将60例结肠癌致肠梗阻患者随机分为对照组和观察组,每组30例。对照组行X线检查,观察组行CT检查,对2组结肠癌致肠梗阻患者检查结果进行分析。结果显示,观察组结肠癌致肠梗阻患者的直接征象(正常段与狭窄处交接处改变、周围脏器组织侵犯、狭窄段)检出率、间接征象(缺血性结肠炎、结肠梗阻、盲肠扩张)检出率明显高于对照组,差异有统计学意义(P <0.05);观察组的疾病检出率为93.33%,对照组为70.00%,2组比较差异有统计学意义(P <0.05)。结果表明,结肠癌致肠梗阻患者在诊断中应用CT检查,可较好地确定梗阻的具体程度,反映其肠管病变情况,从而对疾病的诊断提供依据,更好地选择治疗方案。

This study was to investigate the application value of CT in the diagnosis of intestinal obstruction(IO)induced by colonic cancer(CC),randomly divided 60 cases of this IO into control group(30 cases,X-ray inspection)and observation group(30 cases,CT inspection);then both groups’inspected results were compared and analyzed.As results,in the inspected rate of direct image-findings(including the changes at join between normal segment and strict one,the invaded adjacent organs&tissue,strict segment)and in the inspected rate of indirect image-findings(including ischemic colitis,colonic obstruction,typhlectasis)observation group was all significantly higher than control group(P<0.05);in the inspected rate of diseases observation group was so(93.33%vs 70.00%,P<0.05).Results show that for IO from CC CT inspection can better determine the concrete degree of IO,reflect lesion condition of intestinal tract,so that provide the basis for diagnosis and better choose treatment scheme.