直肠癌影像学检查适宜技术选择与判读

来源 :2015中国普外科焦点问题学术论坛 | 被引量 : 0次 | 上传用户:nyheter
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  "追求R0切除,尽可能保留器官完整性"是NCCN直肠癌临床实践指南始终坚持的直肠癌基本治疗原则。其中,推荐cT0-2,cN0的病人采用TME手术以达到肿瘤环周切缘安全;推荐cT3-4或cN1-2病人选择新辅助放化疗以提高R0切除率和生存获益的专家共识获得临床医生的广泛认同;面对中低位直肠癌在狭窄的小骨盆空间能否获得R0切除,精准评价cTNM分期是外科医生必须关注和最为关键的基本临床信息。熟悉并掌握适宜的影像学检查适应证、对重要的影像分期诊断资料作出基本判读,应成为临床医生规范化培训的重点和必须掌握的基本技能。
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