【摘要】 目的评价口服清水、2%泛影葡胺灌肠后螺旋CT扫描对结肠癌的诊断及术前分期价值。方法40例结肠癌患者检查前一日进流质饮食,检查当日晨常规清洁灌肠,口服清水、2%泛影葡胺灌肠后行CT扫描,结果与术后病理对照分析。结果直肠癌2例,乙状结肠癌7例,降结肠癌6例,横结肠癌5例,升结肠癌20例;根据Dukes’改良分期法,分为B期22例,C期12例,D期6例,与手术符合率为89.6%。结论螺旋CT扫描结合口服清水、2%泛影葡胺灌肠对结肠癌的诊断及术前分期有重要意义。更多还原

【Abstract】 Objective To assess the diagnostic and preoperative classification value of MSCT after administration of water orally and meglumine diatrizoate enema in diagnosis of colonic neoplasms.Methods The day before examination,40 patients with colon carcinoma had a liquid diet and rountine clean enema,then underwent MSCT scan after administration of water orally and 2% meglumine diatrizoate enema.CT findings were analysed in comparison with postoperative pathologic features.Results There were 2 cases of rectal neoplasms,7 cases of sigmoid colon,6 cases of descending colon,5 cases of transeverse colon,and 20 cases of ascending colon cancer.According to Dukes’ staging way,the lesions were B stage in 22 cases,C stage in 12 cases and D stage in 6 cases,the rate corresponding to operation was 89.6%.Conclusion MSCT scan after administration of water orally and 2% meglumine diatrizoate enema in diagnosis of colonic neoplasms has great value.更多还原