经腹超声检查对结肠癌根治术后复发转移的诊断价值
·放射与影像·中国当代医药2018年3月第25卷第9期
CHINA MODERN MEDICINE Vol.25No.9March 2018近年来,结肠癌患者发病率呈上升趋势,多数患
者均实施结肠癌根治术治疗,但是部分患者实施手术
治疗后,由于多种因素影响,易发生复发转移情况,而
实施一项有效的诊断方式十分重要[1-2]。因此,我院对经腹超声检查对结肠癌根治术后复发转移的诊断价
值进行研究和分析,现报道如下。1资料与方法1.1一般资料
选取2015年10月~2016年8月在我院诊断治疗的疑似结肠癌根治术后复发转移患者100例,采用随机数字表法将其分为对照组、观察组,每组50例。观察组男25例,女25例;年龄40~60岁,平均(50.21±1.15)岁;经病理诊断确诊有45例患者为结肠癌根治术后复发转移者。对照组男24例,女26例;年龄41~60岁,平均(51.26±1.27)岁;经病理诊断确诊有45例患者为结肠癌根治术后复发转移者。纳入标准:①结肠癌根治术后复发转移患者(100例)均签署知情同意书;②结肠癌根治术后复发转移患者(100例)经过经腹超声检查对结肠癌根治术后复发转移的
诊断价值
于慧琳王静波
辽宁省鞍山市肿瘤医院超声科,辽宁鞍山
114031[摘要]目的分析经腹超声检查对结肠癌根治术后复发转移的诊断价值。方法选取2015年10月~2016年8月在我院诊断治疗的疑似结肠癌根治术后复发转移患者100例,采用随机数字表法将其分为对照组、观察组,每组50例。对照组患者实施CT 检查,观察组患者实施经腹超声检查,将两组患者的各项指标(检出率、敏感度和特异性)进行比较。结果观察组患者检出率高于对照组,差异有统计学意义(P <0.05),观察组患者的敏感度(95.56%)、特异性(80.00%)高于对照组(77.78%、60.00%),差异有统计学意义(P <0.05)。结论通过对结肠癌根治术后复发转移患者实施经腹超声检查,能显著提高检出率、敏感度和特异性,值得在结肠癌根治术后复发转移患者中进一步推广和应用。
[关键词]经腹超声检查;结肠癌根治;术后复发转移;诊断价值[中图分类号]R735.35[文献标识码]A [文章编号]1674-4721(2018)3(c)-0074-03
Diagnostic value of transabdominal ultrasonography in recurrent metas?tasis after radical operation of colon cancer
YU Hui-lin WANG Jing-bo Department of Ultrasonography,Anshan Cancer Hospital in Liaoning Province,Anshan 114031,China [Abstract]Objective To analyze the diagnostic value of transabdominal ultrasonography in recurrent metastasis after radical operation of colon cancer.Methods A total of 100patients with suspected recurrence and metastasis after radi?cal resection of colon cancer diagnosed and treated in our hospital from October 2015to August 2016were randomly divided into control group and observation group with 50cases in each group.CT examination was performed in the control group and transabdominal ultrasound examination was performed in the observation group.The detection rate,sensitivity and specificity of the two groups were compared.Results The detection rate of patients in the observation group was higher than that in the control group,the difference was statistically significant (P >0.05).The sensitivity and specificity of patients in the observation group were 95.56%and 80.00%,which were higher than those in the control group (77.78%and 60.00%),and the differences were statistically significant (P >0.05).Conclusion Transabdominal ul?trasonography can significantly improve the detection rate,sensitivity and specificity in the patients with recurrent metastasis after radical resection of colon cancer,which is worthy of further promotion and application in the patients with recurrent metastasis after radical operation of colon cancer.
[Key words]Transabdominal ultrasonography;Radical operation of colon cancer;Postoperative recurrent metastasis;Diag?nostic value 74