CT在结直肠重复癌诊断中的临床价值

迟源; 郭一君; 孙巍; 卢再鸣

中国临床医学影像杂志 ›› 2014, Vol. 25 ›› Issue (7) : 493-496.

论著

CT在结直肠重复癌诊断中的临床价值

迟源1，郭一君2，孙巍1，卢再鸣1

作者信息 +

Diagnostic value of CT for synchronous colorectal carcinoma

CHI Yuan1, GUO Yi-jun2, SUN Wei1, LU Zai-ming1

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文章历史 +

摘要

目的：探讨CT对结直肠重复癌的诊断价值。方法：回顾性分析经病理证实的17例结直肠重复癌患者临床病理资料。结果：行CT检查的17例中15例诊断为结直肠重复癌，2例直肠及横结肠重复癌患者分别漏诊直肠癌及横结肠癌。行肠镜检查的16例中12例肠镜抵达回盲部，11例术前准确诊断，1例患者其中1处病变术前病理为中度不典型增生；4例患者因远端病变造成肠腔狭窄未抵达回盲部，近端肠道病变未发现，其中包括1例CT漏诊横结肠癌。结论：在结直肠重复癌的诊断中，CT是必不可少的检查手段。认真把握结直肠癌的影像学特征，培养医生对于结直肠重复癌的诊断意识能提高术前诊断的准确率。

Abstract

Objective: To evaluate the diagnostic value of CT for synchronous colorectal carcinoma(SCRC). Methods: The clinico-pathologic and imaging results in 17 patients with SCRC were reviewed retrospectively. Results: Among the 17 patients with SCRC who underwent CT examination, 15 patients diagnosed as SCRC, 2 cases of SCRC happened in transverse colon and rectum were missed as transverse colon cancer and rectal cancer separately. Among the 16 cases who underwent colonoscopy examination, in 12 cases the colonoscopy arrived to the ileocecal region, and 11 cases were accurately diagnosed, 1 case was diagnosed as moderate dysplasia by preoperative pathology, in 4 cases there was incomplete colonoscopy due to intestinal stenosis caused by distal lesion so missed the proximal lesion. Conclusions: CT is an essential modality for diagnosing SCRC. Familiar with the imaging features of SCRC, strict training of doctor’s technique and awareness for the presence of SCRC can improve the accuracy of preoperative diagnosis.

导出引用

迟源;郭一君;孙巍;卢再鸣. CT在结直肠重复癌诊断中的临床价值[J]. 中国临床医学影像杂志. 2014, 25(7): 493-496

CHI Yuan;GUO Yi-jun;SUN Wei;LU Zai-ming. Diagnostic value of CT for synchronous colorectal carcinoma[J]. Journal of China Clinic Medical Imaging. 2014, 25(7): 493-496

中图分类号： Ｒ735.3 Ｒ814.42