| 64排螺旋CT扫描在肠道肿瘤术前诊断中的临床意义 |
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| 引用本文： | 杨红,杨莹,李冬成,修承祥.64排螺旋CT扫描在肠道肿瘤术前诊断中的临床意义[J].CT理论与应用研究,2017,26(2):241-246. |
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| 作者姓名： | 杨红 杨莹 李冬成 修承祥 |
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| 作者单位： | 无锡市第九人民医院放射科, 江苏 无锡 214062 |
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| 摘 要： | 目的:探讨64排螺旋CT扫描在肠道肿瘤术前诊断中的应用价值。方法:回顾性分析2013年7月至2016年5月期间我院39例肠道肿瘤患者的影像学资料。所有患者采用口服水造影检查技术,运用工作站多平面重建(MPR)方法,获得冠状面、矢状面重建,结合横断面图像,对39例肠道肿瘤患者的螺旋CT表现进行回顾性分析。结果:39例肠道肿瘤中,小肠肿瘤5例,其中腺癌2例、间质瘤2例、淋巴瘤1例;回盲部肿瘤3例均为腺癌;结肠肿瘤22例(包括升结肠11例、横结肠4例、降结肠3例、乙状结肠4例),其中腺癌17例、间质瘤4例、淋巴瘤1例;直肠肿瘤9例均为腺癌。肿瘤并发肠梗阻2例,合并肠套叠1例,肿瘤穿孔1例。肿瘤侵及深肌层28例,突破浆膜层侵犯周围脂肪间隙16例,周围淋巴结转移10例,肝转移1例。结论:64层螺旋CT对胃肠道肿瘤检出率高,能准确判断患者的病变部位和周围侵犯情况,有助于对肿瘤的定性,对术前诊断肠道肿瘤有较高的临床意义。
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| 关 键 词： | 体层摄影术 肠道肿瘤 诊断 |
| 收稿时间： | 2016-09-06 |
The Value of 64-MDCT Diagnosis of Intestinal Tumor |
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| YANG Hong,YANG Ying,LI Dong-cheng,XIU Cheng-xiang.The Value of 64-MDCT Diagnosis of Intestinal Tumor[J].Computerized Tomography Theory and Applications,2017,26(2):241-246. |
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| Authors: | YANG Hong YANG Ying LI Dong-cheng XIU Cheng-xiang |
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| Institution: | Department of Radiology,The Ninth People’s Hospital of Wuxi, Wuxi 214062, China |
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| Abstract: | Objective:To evaluate the value of 64-MSCT diagnosis of intestinal tumor. Methods: Theimaging data of 39 patients with intestinal cancerwere retrospectively analyzed in our hospitalfrom july 2013 to may 2016,All the patients were examined with water imaging technique. Coronal plane and Sagittal plane imaging reconstruction was performed by work station multiplanar reconstruction (MPR), and sectional plane imaging was combined. CT findings of 39 patients of intestinal tumor were retrospectively analyzed. Results: In 39 cases of intestinal tumor.2 cases of small intestinal adenocarcinoma.1 case of malignant lymphoma. 2 cases of gastrointestinal stromal tumors. 3 cases of ileocecal junction tumor. 22 cases of hemicolon tumor. 9 cases of rectal tumor.Tumor complicated with intestinal obstruction in 2 cases, combined intussusception in 1 case, tumor perforation in 1 case. Tumor invasion and 28 cases of deep muscularis, break through the infringement of 16 cases of fat around the gap size film layer, around 10 cases of lymph node metastasis, liver metastasis in 1 case.Conculsion:64 layer spiral CT on gastrointestinal tumor detection rate is high, can accurately determine the patient's pathological changes, and help the tumor qualitative, has diagnostic value in intestinal tumor. |
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| Keywords: | computed tomography intestinal tumor diagnosis |
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