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陈华.腹部CT增强扫描在结肠癌患者术前病情分期评估和术后复发监测中的应用[J].浙江中西医结合杂志,2018,28(6):
腹部CT增强扫描在结肠癌患者术前病情分期评估和术后复发监测中的应用
Application of abdominal enhanced CT scanning in preoperative staging evaluation and postoperative recurrence monitoring in patients with colon cancer
投稿时间:2017-09-07  修订日期:2018-01-13
DOI:
中文关键词:  Application of abdominal enhanced CT scanning in preoperative staging evaluation and postoperative recurrence monitoring in patients with colon cancer
英文关键词:colon cancer  abdominal enhanced CT scanner  preoperative staging of the disease  postoperative recurrence
基金项目:
作者单位E-mail
陈华* 浙江省海宁市第二人民医院 zhousy7501@163.com 
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中文摘要:
      【摘要】目的:探讨腹部CT增强扫描在结肠癌患者术前TNM分期判断及术后复发评估中的应用。方法:将本院60例结肠癌患者作为研究对象,均采用腹部CT增强扫描评估患者术前TNM分期及评估患者术后复发的情况,并将病理诊断结果作为金标准对其进行评估。结果:腹部CT增强扫描TNMⅠ、Ⅱ、Ⅲ及Ⅳ期术前诊断的准确率分别为73.33%、88.00%、100.00%、100.00%;TNMⅠ、Ⅱ、Ⅲ及Ⅳ期术后复发诊断的准确率分别为66.67%、50.00%、100.00%、100.00%。其中,术前、术后TNMⅠ、Ⅱ期与病理诊断结果比较,均存在明显差异(均P<0.05)。结论:通过腹部CT增强扫描可有效对结肠癌患者进行术前TNM分期及术后复发等情况的评估,能够清晰观察其相邻组织的受侵情况,具有较高的诊断准确率,因此值得临床应用与推广。
英文摘要:
      [Abstract] Objective To evaluate the application of abdominal enhanced CT scanning in preoperative staging evaluation and postoperative recurrence monitoring in patients with colon cancer. Methods 60 cases of colon cancer were selected as the research objects in our hospital. Theenhanced abdominal CT scanning was used to assess preoperative TNM staging and evaluation of recurrence after surgery, and the pathological diagnosis was regarded as the gold standard for the evaluation. ResultsTheaccurate rate of TNM I, II, III and IV by abdominal CT scanner before operation were respectively 73.33%, 88.00%, 100.00%, 100.00%; the accurate rate of recurrencediagnosis inTNM I, II, III and IV after operation were respectively66.67%, 50.00%, 100.00%, 100.00%. The preoperative and postoperativediagnosis of TNM, I, II showedsignificant differences in comparison ofpathological diagnosis (bothP<0.05). ConclusionAbdominal enhanced CT scanning can effectivelyassess the preoperative TNM staging and postoperative recurrence inpatients withcolon cancer, which can clearly observe the invasion ofadjacent tissue, with high diagnostic accuracy, so it is worthy of clinical application and promotion.
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