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目的评价多层螺旋CT在结直肠癌治疗方案选择中的应用价值。方法 88例结直肠癌患者术前均行多层螺旋CT检查,并行后重建处理。对治疗方案选择的建议:CT表现肿瘤浸润浆膜面,周围系膜及脏器浸润,采用进腹手术;CT表现肿瘤浸润浆膜面,且肿瘤范围较大,周围淋巴结明显肿大,未浸润周围脏器,可以先采取化疗等保守方案缩小病灶,然后采取腹腔镜切除;CT表现肿瘤已浸润浆膜面,周围淋巴结未见明显肿大或轻度肿大,行腹腔镜切除。结果手术者术中探查所见均与术前CT诊断一致,有效降低腹腔镜手术中转开腹手术的概率。结论多层螺旋CT可以为结直肠癌术式和治疗方案的选择提供依据。
Objective To evaluate the value of multislice spiral CT in treatment of colorectal cancer. Methods Eighty-eight patients with colorectal cancer underwent multi-slice spiral CT before operation and reconstruction. The choice of treatment options: CT showed tumor infiltration of serosal surface, surrounding infiltration of mesangium and organs, the use of abdominal surgery; CT showed tumor infiltration serosal surface, and a larger tumor area, the surrounding lymph nodes were significantly enlarged, infiltrated Surrounding organs, you can take chemotherapy and other conservative programs to reduce the lesion, and then take laparoscopic resection; CT showed that the tumor has been infiltrating the serosal surface, no significant enlarged lymph nodes around or mild swelling, laparoscopic resection. Results The intraoperative findings of the surgeon were consistent with the preoperative CT diagnosis, effectively reducing the probability of laparoscopic surgery in the laparoscopic surgery. Conclusion Multi-slice spiral CT can provide the basis for the selection of surgical methods and treatment of colorectal cancer.