MRI检查在直肠癌患者术后局部复发诊断中的应用价值

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Abstract Objective To investigate the value of magnetic resonance imaging (MRI) in the diagnosis of postoperative local recurrence of rectal cancer.Methods A total of 79 patients with suspected postoperative local recurrence of rectal cancer who admitted to Anshan Central Hospital of Liaoning Province from June 2018 to June 2019 were selected as the research objects.All of the patients were diagnosed with MRI and computed tomography (CT) examinations.The pathological results of surgical biopsy were used as the gold diagnostic standard.The sensitivity,specificity and accuracy of MRI and CT examination in diagnosis of postoperative local recurrence of rectal cancer were compared.Results The pathological results of surgical biopsy showed that there were 48 patients with positive postoperative local recurrence of rectal cancer among the 79 patients with suspected postoperative local recurrence of rectal cancer,and 31 patients were benign changes.There were 49 patients of postoperative local recurrence of rectal cancer diagnosed by MRI examination,45 patients were true positive.There were 46 patients of postoperative local recurrence of rectal cancer diagnosed by CT examination,37 patients were true positive.The sensitivity,specificity and accuracy of MRI examination in the diagnosis of postoperative local recurrence of rectal cancer were 93.75%,87.10%,91.14%,which were higher than 77.08%,70.97%,74.68% of the CT examination,and the differences were statistically significant (P<0.05).Conclusion In the diagnosis of postoperative local recurrence after rectal cancer,the MRI examination has better sensitivity,specificity and accuracy,which can be used as an important means of clinical diagnosis.

Key words： Magnetic resonance imaging Rectal cancer Local recurrence Diagnostic value

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	ZHU Feng

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ZHU Feng. Application value of MRI examination in diagnosis of postoperative local recurrence of rectal cancer[J]. 中国当代医药, 2021, 28(4): 153-155.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I4/153

[1]	邢怀德，王泰山.腹腔镜下直肠癌根治术37例疗效观察及对患者复发率和生存率的影响[J].中国疗养医学，2019，28（5）：96-97.
[2]	祝云霄，冯美燕，冯占军.直肠癌病理组织中TIPE3 表达与淋巴结转移、复发及生存率的关系[J].现代消化及介入诊疗，2019，24（3）：31-34.
[3]	龙艳，高志霖，罗平，等.MRI检查对直肠癌术后局部复发的应用效果评价[J].影像研究与医学应用，2018，2（4）：135-136.
[4]	官雯菊，张涛，易鑫，等.直肠癌TME 术后局部复发规律对放疗靶区设计的价值探讨[J].中国肿瘤临床，2019，46（10）：501-506.
[5]	徐晔，周洋，唐娜，等.中段直肠癌术前磁共振成像对术后复发及转移的预测价值研究[J].中国癌症杂志，2018，28（5）：376-382.
[6]	庄晓曌，李建军，符莉莉，等.扩散加权成像对直肠癌患者根治术后局部复发的诊断价值[J].中国医药导报，2019，16（16）：129-132.
[7]	国家卫生计生委医政医管局，中华医学会肿瘤学分会.中国结直肠癌诊疗规范（2015版）[J].中华胃肠外科杂志，2015，34（10）：961-973.
[8]	杨含.同步加量调强放疗联合XELOX 化疗对局部进展期直肠癌患者术后复发率及血清癌胚抗原水平的影响[J].临床研究，2019，27（10）：56-57.
[9]	郑梓煜，陈剑辉，蔡锐彬，等.根治性切除治疗结直肠癌肝转移的效果及术后肝转移瘤复发危险因素分析[J].第三军医大学学报，2016，24（6）：623-628.
[10]	陈晓，郑小明.直肠癌的复发和转移与血脂、CEA、CA199的关系[J].中国医药科学，2018，8（10）：205-207.
[11]	宋黎涛.胰十二指肠局部切除术后晚期直肠癌患者放化疗预后与MRI指标的关联研究[J].中国实验诊断学，2018，22（10）：5-9.
[12]	豆晓锋，邵佳栋，李晶.PET/CT 显像在结直肠癌术后复发及转移诊断中的临床应用价值[J].影像研究与医学应用，2018，2（22）：6-7.
[13]	张建新，杨钊，樊鹏，等.MRI评估局部晚期直肠癌新辅助放化疗及全直肠系膜切除术后无进展生存期的价值[J].中华肿瘤杂志，2018，40（2）：121-126.
[14]	任国政.CT、MRI 对直肠癌术后局部复发的诊断及鉴别诊断作用分析[J].包头医学，2018，42（2）：6-8.
[15]	陈晨阳，黄子星，宋彬.CT，MRI 对直肠癌术后局部复发的诊断及鉴别诊断[J].中国普外基础与临床杂志，2013，20（11）：1310-1314.