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CT与钡灌肠X线检查在结肠癌诊断中的比较

Comparative Study of CT Examination and Barium Enema in Colon Carcinoma

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【作者】 俞琴冉隆富周映华袁蓉

【Author】 YU Qin,RAN Long-fu,ZHOU Ying-hua,YUAN Rong(Chengdu No.7 People’s Hospital,Sichuan Chengdu 610021,China)

【机构】 成都市第七人民医院

【摘要】 目的:探讨钡灌肠X线检查及CT扫描对结肠癌术前的诊断价值。方法:对28例经手术病理证实的结肠癌病例的钡灌肠及CT影像资料进行回顾性分析。结果:28例病例均行CT检查,其中24例还行钡灌肠检查。28例病例中22例为进展期,6例为早期。CT与钡灌肠对进展期病例显示良好。在6例早期病例中,CT发现2例钡灌肠发现5例。结论:钡灌肠对于早期病例的发现强于CT,且钡灌肠能很好显示肿瘤的位置、形态、大小;但CT对肠道之外的浸润、转移等的显示明显优于钡灌肠。两者结合对结肠癌的术前评估有重要价值。

【Abstract】 Objective:To study the preoperative diagnostic value of CT(computerized tomography)and BE(barium enema) in colon carcinoma.Methods:The 28 cases with colon carcinoma in our hospital were confirmed by operation and pathology.Their imaging data of CT and BE before operation were analyzed restrospectivly.Results:The 28 patients underwent CT in which 24 patients underwent both BE。Among the 28 cases,there were 6 cases with early stage,22 cases with advanced stage.Two methods were relatively satisfied to advanced stage of carcinoma.For the early stage cases,CT found 2 cases(2/6),BE found 5 cases(5/6).Conclusion:For the find of early stage,BE is superior to CT,and BE can demonstrated the focus of the position,size and shape clearly,so it can be considered as a basic checking method at present.But CT can find extra-colonic findings(for example infiltrate and metastatic et al),it is very important to complement to BE shortage.The combination of BE and CT have important value to the preoperative evaluation.

【关键词】 结肠癌钡灌肠CT扫描
【Key words】 colon carcinomabarium enemacomputerized tomography
  • 【文献出处】 现代临床医学 ,Journal of Modern Clinical Medicine , 编辑部邮箱 ,2010年05期
  • 【分类号】R735.35
  • 【被引频次】2
  • 【下载频次】62
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