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目的:评价多层螺旋CT(MSCT)对结肠癌合并肠壁穿孔的诊断价值。方法:回顾性分析21例经手术证实的结肠癌合并穿孔的临床及MSCT资料。结果:本组21例中,X线腹平片发现腹部游离气体15例,CT见腹部游离气体18例;21例均发现结肠管壁不同程度的增厚,伴有肠梗阻8例。CT术前正确诊断肠穿孔18例(85.7%);术前正确诊断肠癌合并穿孔16例(76.1%)。结论 :MSCT对结肠癌合并肠穿孔具有较高的术前诊断价值。
Objective: To evaluate the diagnostic value of multislice spiral CT (MSCT) in the diagnosis of colon cancer complicated with intestinal perforation. Methods: The clinical and MSCT data of 21 cases with colorectal cancer complicated with perforation confirmed by surgery were retrospectively analyzed. Results: Among the 21 cases, there were 15 cases of free gas in the abdomen and 18 cases of free gas in the abdomen on X-ray abdominal plain film. All of the 21 cases were found with different degrees of thickening of the colon wall with intestinal obstruction in 8 cases. Correct diagnosis of intestinal perforation in 18 cases (85.7%) before surgery; correct diagnosis of colorectal cancer with perforation in 16 cases (76.1%). Conclusion: MSCT has a high preoperative diagnostic value for colon cancer with intestinal perforation.