多层螺旋CT对中老年患者结肠病变诊断的应用价值

摘要

目的：探讨 MSCT 在中老年患者结肠病变诊断中的应用价值。方法：回顾性分析经手术、病理证实的26例中老年患者结肠病变的病例资料。结果：结肠癌23例,乙状结肠淋巴瘤1例,回盲部炎性肉芽肿伴慢性阑尾炎1例,乙状结肠扭转1例；MSCT 准确定位全部病例,准确诊断23例,1例结肠癌误诊为炎性病变,1例结肠癌漏诊,1例淋巴瘤误诊为间质瘤。结论：MSCT 对中老年结肠病变有较高的临床应用价值。%　　Objective :To asses the clinic value of MSCT in diagnosis of colon lesions in middle-aged and elderly patients. Methods :MSCT features of 26 patients with surgery and/or colonoscopy proved colon lesions were retrospectively analyzed. Results :Colon cancer,23 cases,sigmoid colon lymphoma patients, ileocecal inflammatory granuloma associated with chronic appendicitis,sigmoid volvulus cases ;MSCT accurately locate all cases,accurate diagnosis of 23 cases, 1 case of colon cancer misdiagnosed as inflammatory lesions cases of colon cancer misdiagnosis lymphoma misdiagnosed as stromal tumors.Conclusion :MSCT can clearly and correctly demonstrate the lesions of colon,having a high value in clinical application.