摘要
目的探讨结直肠癌^18F—FDG PET／CT检查的有效护理方法，提高对温水保留灌肠的认识及护理操作水平。方法选择行常规^18F—FDG PET／CT检查发现结直肠高FDG浓聚患者130例，在常规检查后行局部温水灌肠^18F—FDG PET／CT显像，将^18F—FDG PET／CT阳性检查结果与肠镜或术后病理进行对照。结果130例患者常规^18F-FDG PET／CT扫描对结直肠癌诊断的敏感性、特异性、准确性分别为80．8％，58．5％，81．5％，保留灌肠对结直肠癌诊断的敏感性、特异性、准确性分别100．0％，97．5％，99．2％，两种方法诊断结直肠癌准确性的比较差异有统计学意义（Х^2=21．04，P〈0．05）。结论温水保留灌肠有助于结直肠癌的诊断、鉴别诊断，保留灌肠护理对于提高图像的质量、协助医生保证诊断的准确性有重要的临床意义。
Objective To discuss effective nursing methods for ^18F-FDG PET/CT test of colorectal cancer, in order to improve the understanding and nursing level of retention enema. Methods Totals of 130 patients who had suffered from conventional ^18F-FDG PET/CT test for high FDG in colorectum were chosen, and performed with partial water enema in ^18F-FDG PET/CT scans. Positive results of ^18F-FDG PET/CT and pathological mechanism after enteroscope or surgery were compared. Results The sensitivity, specificity and accuracy for detecting colorectal cancer were respectively 80.8% , 58.5% and 81.5% with conventional ^18F- FDG PET/CT scan, and 100. 0%, 97. 5% and 99. 2% with retention enema, and the difference was statistically significant （ Х^2 = 21.04, P 〈 0. 05 ）. Conclusions Retention enema is helpful to diagnose and detect colorectal cancer, and the nursing has significance in improving image quality and accuracy of diagnosis.
出处
《中华现代护理杂志》
2013年第15期1781-1783,共3页
Chinese Journal of Modern Nursing
