摘要
目的:探讨螺旋CT与胃肠道造影对原发性小肠肿瘤的诊断价值。方法选择唐山市中医医院2011年10月-2014年10月收治的经病理诊断确诊的原发性小肠肿瘤患者46例,均经手术治疗。术前均经螺旋CT与胃肠道造影检查,比较两种方法对小肠肿瘤的检出率及诊断的准确率。结果胃肠造影对小肠疾病的诊断结果院46例患者中,7例向腔外生长的淋巴瘤、9例腔外型平滑肌肉瘤、4例腔外型间质瘤及1例息肉患者未检出,检出率为54.3%(25/46);检出的25例患者中,有1例间质瘤、1例平滑肌肉瘤误诊为腺癌。胃肠造影诊断小肠肿瘤的准确性为50.0%(23/46)。螺旋CT对小肠疾病的诊断结果院46例患者中,有1例间质瘤、1例息肉患者未检出,检出率为95.7%(44/46);检出的44例患者螺旋CT诊断结果与病理诊断结果均相符,诊断准确率为95.7%(44/46)。两种方法对小肠肿瘤检出率、诊断准确度比较,差异均有统计学意义(均P〈0.05)。结论螺旋CT对原发性小肠肿瘤的检出率和诊断准确度均优于胃肠道造影,且操作简单,患者易接受,值得临床推广应用。
Objective To study the diagnostic value of spiral CT and gastrointestinal contrast radiography in diagnosis of primary small intestinal tumor. Methods 46 patients with primary intestinal tumor were selected as subjects, who were diagnosed by postoperative pathology and hospitalized in Traditional Chinese Medicine Hospital of Tangshan City from October 2011 to October 2014. All patients underwent spiral CT and gastrointestinal contrast radiography exami-nation before surgery. The detection rate and diagnosis accuracy rate of two examination methods were compared. Re-sults Results of gastrointestinal radiography in the diagnosis of small intestinal tumor were as follows:21 cases were not detected, including 7 cases of lymphoma to extraluminal growth, 9 cases of leiomyosarcoma, 4 cases of stromal tumors and 1 case of polyps;25 cases were detected in all patients, including 2 cases with mesenchymoma and leiomyosarcoma misdiagnosed as adenocarcinoma retrospectively. The detection rate was and the accuracy rate of gastrointestinal radiog-raphy in the diagnosis of small intestinal tumors were 54.3% (25/46) and 50.0% (23/46) respectively. Results of spiral CT in diagnosis of small intestinal tumor were as follows:2 cases were not detected, including 1 case of stromal tumors, 1 case of polyps. 44 cases were detected and were consistent with the results of pathological diagnosis. The detection rate and the accuracy rate of spiral CT in the diagnosis of small intestinal tumors were both 95.7%(44/46). There were statistical significance differences in detection rate and accuracy rate between spiral CT and gastrointestinal radiogra-phy in diagnosis of primary small intestinal tumor (P〈 0.05). Conclusion The detection rate and the accuracy rate of spiral CT are better than those of gastrointestinal radiography in diagnosis of primary small intestinal tumor. Spiral CT examination has the advantages of simple operation, easy to be accepted by patients and is worthy of clinical application.
出处
《中国医药导报》
CAS
2015年第26期166-168,共3页
China Medical Herald
基金
河北省科技计划项目(132777230)
河北省唐山市科学技术与发展计划项目(13130220b)
关键词
原发性小肠肿瘤
螺旋CT检查
胃肠造影
Primary intestinal tumor
Spiral CT
Gastrointestinal contrast radiography