多层螺旋CT小肠造影与肠胶囊内镜联合应用对小肠常见肿瘤的术前评估价值

摘要

Objective To investigate the effectiveness of combination of MSCTE (Multi-Slice Spiral Computerized Tomography Enterography) and BCE (Bowel Capsule Endoscopy) as well as separate application of BCE and MSCTE in pre-operative assessment of SITs (Tumors of Small Intestine). Methods MSCTE and BCE imaging data of sixty-six SIT patients were analyzed retrospectively so as to compare the consistency in detection rates and lesion sizes between MSCTE, BCE and the combination of MSCTE and BCE.Results Combination of MSCTE and BCE demonstrated its overwhelming advantages in the detection rate of SITs over separate application of MSCTE and BCE (P<0.05). The consistency in lesion sizes and pathological measurements obtained by MSCTE, BCE and combination of both technologies was analyzed (r=0.98, 0.966, 0.995).Conclusion Combination of MSCTE and BCE could improve the detection rate of SITs and the accuracy of pre-operative assessment.%目的：探讨多层螺旋CT小肠造影（MSCTE）与肠胶囊内镜（BCE）单独及联合应用对常见小肠肿瘤的术前评估价值。方法回顾性分析66例小肠肿瘤患者的MSCTE及BCE检查资料，对比分析MSCTE、BCE单独及联合诊断对小肠肿瘤的检出率及病灶大小的符合度。结果 MSCTE与BCE联合诊断对小肠肿瘤的检出率明显高于单独一种检查手段（P<0.05）；对MSCTE、BCE及联合诊断的病灶大小测值与病理测值进行相关分析，r值分别为0.98、0.966、0.995。结论 MSCTE与BCE联合应用能提高小肠肿瘤的检出率及术前评估的准确性。