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结直肠癌并肠梗阻的CT术前评估
引用本文:涂云忠,叶更新,张坚. 结直肠癌并肠梗阻的CT术前评估[J]. 中国医药导报, 2011, 8(4): 138-139
作者姓名:涂云忠  叶更新  张坚
作者单位:1. 广州市第十二人民医院普通外科,广东广州,510620
2. 广州市第十二人民医院影像科,广东广州,510620
摘    要:
目的:探讨结直肠癌致机械性肠梗阻通过螺旋CT检查进行手术前评估。方法:收集术前腹部CT并经手术或纤维结肠镜病理证实为结直肠癌引起机械性肠梗阻病例50例,对CT及腹部平片表现进行分析①梗阻近、远侧肠管表现;②梗阻部位改变;③并发症的CT征象。结果:50例肠梗阻中,判断肠梗阻的有无,CT检查诊断50例(100%),X线平片诊断47例(94%)。肠梗阻病因的判断,CT诊断50例(100%),X线平片诊断0例(0%)。全组50例在CT上均见肠腔内软组织肿块影、肠壁增厚和肠腔狭窄。结论:结直肠癌引起机械性肠梗阻的CT检查诊断梗阻的原因、部位、程度及发病缓急,可为临床医生提供更有价值的术前资料。

关 键 词:结直肠癌  肠梗阻  CT检查  术前评估

Preoperative evaluation of colorectal cancer complicated with intestinal obstruction through CT Examination
TU Yunzhong,YE Gengxin,ZHANG Jian. Preoperative evaluation of colorectal cancer complicated with intestinal obstruction through CT Examination[J]. China Medical Herald, 2011, 8(4): 138-139
Authors:TU Yunzhong  YE Gengxin  ZHANG Jian
Affiliation:TU Yunzhong1,YE Gengxin2,ZHANG Jian1(1.Department of general surgery,Guangzhou No.12 People's Hospital,Guangzhou 510620,China,2.Department of Image,China)
Abstract:
Objective: To explore the clinical value of preoperative evaluation of colorectal cancer complicated with intestinal obstruction through CT examination.Methods: CT and abdominal plain film data of 50 patients with colorectal cancer complicated with intestinal obstruction confirmed by operation and fibercolonscopy pathological examination were retrospectively analysed.Results: The diagnostic accordance rate of abdominal plain film examination was only 47 patients(94%) before operation.It was raised to 100% w...
Keywords:Colorectal cancer  Intestinal obstruction  CT examination  Preoperative evaluation  
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