摘要
为探讨64排螺旋CT扫描在肠道肿瘤术前诊断中的应用价值,回顾分析2014年3月至2017年5月我院收治的45例肠道肿瘤患者的术前64排螺旋CT检查资料。结果显示,45例患者均经术后病理证实为肠道肿瘤性病变。其中小肠肿瘤6例(包括腺癌1例,间质瘤4例,淋巴瘤1例),回盲部肿瘤4例(均为腺癌),结肠肿瘤25例(腺癌19例,间质瘤5例,淋巴瘤1例),直肠肿瘤10例(均为腺癌)。25例结肠肿瘤中,升结肠13例,横结肠5例,降结肠3例,乙状结肠4例。肿瘤并发肠梗阻2例(4.44%),合并肠套叠1例(2.22%),肿瘤穿孔1例(2.22%),肿瘤侵及深肌层32例(71.11%),突破浆膜层侵犯周围脂肪间隙18例(40.00%),周围淋巴结转移12例(26.67%),肝转移1例(2.22%)。结果表明,64排螺旋CT扫描能够准确判断肠道肿瘤病变部位及其对周围组织的侵犯情况,而且可协助对肿瘤进行定性,用于术前诊断具有较高的价值。
In order to explore the application value of 64slice spiral CT scanning in preoperatively diagnosing intestinal neoplasms,authors retrospectively analysed the inspect data of 45cases treated in author's hospital(2014-03-2017-05)by using 64slice spiral CT before surgery.As results,the intestinal neoplasms of 45cases had been confirmed by postoperative pathological examination,included small intestinal tumors of 6cases(adenocarcinoma,1case;stromal tumor,4cases;lymphoma,1case),ileocecal adenocarcinoma of 4 cases,colonic tumor of 25cases(adenocarcinoma,19cases;stromal tumor,5cases;lymphnoma,1case),rectal adenocarcinoma of 10cases.In colonic tumor of 25cases,13cases were at ascending colon,5at transversus colon,3at descending colon,4at sigmoid;as for the tumor complicated,intestinal obstruction of 2cases (4.44%),intussusception of 1case(2.22%,entero-perforation of 1case(2.22%),deep muscularis invasion of 32cases(71.11%),18cases suffered broken serosa into around fat space(40.00%),metastasized to around lymph node in 12cases(26.67%),metastasized to liver in 1case(2.22%).Results show that 64slice spiral CT scanning can accuracyly judge lesion site of intestinal neoplasms,as well as neoplasm's invasive around tissue situation,also help to make neoplasms qualitative diagnosis,thus has higher preoperative diagnostic value.
作者
姚鹏鹏
李润涛
YAO Peng-peng;LI Run-tao(The Central Hospital of Zhengzhou City,Zhengzhou,Henan 450003)
出处
《中国肛肠病杂志》
2019年第2期6-7,共2页
Chinese Journal of Coloproctology
关键词
肠道肿瘤
64排螺旋CT
术前诊断
应用价值
Intestinal neoplasm
The 64slice spiral CT
Preoperative diagnosis
Application value
