|
|
|
| Clinical value of 64 slice spiral CT and post-processing technology in preoperative staging of colorectal cancer |
| ZHANG Yan |
| Department of Radiology,Jianli City People′s Hospital,Hubei Province,Jianli 433300,China |
|
|
|
|
Abstract Objective To explore the clinical value of 64 slice spiral CT and post-processing technology in preoperative staging of colorectal cancer.Methods A total of 90 patients with colorectal cancer admitted to Jianli People′s Hospital from October 2017 to June 2019 were retrospectively selected as the research object.Postoperative pathological results were used as the gold standard for diagnosis and staging of colorectal cancer,and the application value of 64-slice spiral CT and post-processing technology in preoperative staging diagnosis of colorectal cancer was analyzed.Results Pathological examination showed that in 90 patients with colorectal cancer,there were 8 cases of T1 stage,13 cases of T2 stage,55 cases of T3 stage and 14 cases of T4 stage.7 cases of stage N0,70 cases of stage N1 and 13 cases of stage N2.M1 stage 20 cases.In the T1-T4 stage diagnosis of colorectal cancer,the sensitivity of 64-slice spiral CT was 100.00%,76.92%,81.82%,100.00%,and the specificity was 100.00%,87.01%,91.43%,100.00%,respectively.The accuracy was 100.00%,85.56%,85.56%,100.00%,and the diagnostic coincidence rate was 85.56%(77/90). Kappa consistency test showed good consistency between 64-slice spiral CT and pathological examination results(Kappa=0.772,P=0.000).In the N0-N2 stage diagnosis of colorectal cancer,the sensitivity of 64-slice spiral CT was 100.00%,77.14%,84.62%,the specificity was 100.00%,90.00%,79.22%,and the accuracy was 100.00%,80.00%,80.00%,respectively.The diagnostic coincidence rate was 80.00%(72/90). Kappa consistency test showed that 64-slice spiral CT was in good agreement with pathological examination(Kappa=0.570,P=0.002).In the diagnosis of M staging of colorectal cancer,the sensitivity,specificity and accuracy of 64-slice spiral CT were all 100.00%,and the diagnostic coincidence rate was 100.00%(90/90).Kappa consistency test showed that 64-slice spiral CT was in good agreement with pathological examination results(Kappa=1.000,P=0.000).Conclusion The application value of 64 slice spiral CT and post-processing technology in preoperative staging diagnosis of colorectal cancer is high,which provides reference for clinical differential diagnosis and is worthy of promotion and application.
|
|
|
|
|
|
| [1] |
杨仁保，李良，张军，等.CT 和MRI 对直肠癌术前T、N 分期的对比研究[J].中国普外基础与临床杂志，2018，25（4）：433-437.
|
| [2] |
王耀彬，温友信，陈艳琼，等.MRI 和螺旋CT 应用于直肠癌分期的诊断效果评价[J].中国医疗设备，2019，34（S2）：155-156.
|
| [3] |
卢荣增，刘建山，雷星，等.影像学检查在结直肠癌术前分期诊断中的应用[J].国际肿瘤学杂志，2017，44（8）：622-625.
|
| [4] |
孙云峰，徐红勤，钟丽琴.CT 影像诊断对直肠癌临床术前分期的价值研究[J].中华肿瘤防治杂志，2019，26（S1）：86-87.
|
| [5] |
肖华平，邱敏华，李欠云，等.磁共振成像及CT 在梗阻性结直肠癌TNM 分期中的诊断临床价值研究[J].中国药物与临床，2019，19（9）：1432-1434.
|
| [6] |
胡琼菊，刘慧敏.多层螺旋CT、磁共振及经直肠超声在直肠癌术前T 分期评价的应用比较[J].中国临床研究，2017，30（7）：984-986.
|
| [7] |
魏来.MSCT 在结直肠癌术前TNM 分期中的应用价值[J].哈尔滨医科大学学报，2017，51（4）：360-364.
|
| [8] |
徐志鹏，李军堂，邢杰，等.MRI 与螺旋CT 对直肠癌术前分期对照分析[J].陕西医学杂志，2018，47（7）：862-864.
|
| [9] |
徐少真，王挺.CT 和MRI 在直肠癌术前局部分期的诊断价值[J].中国临床保健杂志，2018，21（2）：189-191.
|
| [10] |
庞吉超，王平怀.MRI 与螺旋CT 在直肠癌术前分期诊断中的应用价值比较[J].河北医学，2018，24（11）：1817-1821.
|
| [11] |
刘华，边芳，翟冬枝.MSCT 与MRI 技术在鉴别结直肠癌术前T、N 分期的诊断价值[J].中国CT 和MRI 杂志，2019，17（4）：109-111.
|
| [12] |
彭荣，郝建成，胡国权，等.256 层螺旋CT 动态增强及多模式后处理技术在结肠癌术前诊断及分期中的应用价值[J].安徽医药，2020，24（4）：766-770.
|
| [13] |
孟雷，李艳彬，许崇永，等.MSCT 平扫加增强检查联合后处理技术在结肠癌术前诊断及分期中的应用[J].中国医药导报，2017，14（10）：138-141.
|
| [14] |
唐圣军，吕亚萍，兰庆茂，等.MSCT（多层螺旋CT）与MRI在结直肠癌术前分期及预后评诂的价值对比分析[J].结直肠肛门外科，2017，23（S1）：16-17.
|
| [15] |
张晓斌，徐慧慧，冯长明，等.双能量CT 对结直肠癌术前分期的评价[J].河北医药，2018，40（6）：890-893.
|
| [16] |
杨露，汪春红.CT 对结肠癌患者术前分期及预后评估的价值[J].结直肠肛门外科，2017，23（3）：375-378.
|
| [17] |
夏文骞.结肠癌患者术前TNM 分期,MSCT 影像表现及病理表现特点分析[J].中国CT 和MRI 杂志，2017，15（10）：112-114.
|
| [18] |
梁玉安.多层螺旋CT 在结直肠癌术前TNM 分期诊断中的应用[J].广西医科大学学报，2017，34（2）：279-283.
|
|
|
|
