首页|低剂量螺旋CT仿真内镜技术在早期结直肠癌诊断中的筛查价值及准确性分析

低剂量螺旋CT仿真内镜技术在早期结直肠癌诊断中的筛查价值及准确性分析

扫码查看
目的:分析低剂量螺旋CT仿真内镜技术在早期结直肠癌诊断中的筛查价值及准确性.方法:选取2020年5月—2021年10月河南科技大学第一附属医院收治的160例疑似结直肠癌患者作为研究对象.对所有患者实施常规CT检查和低剂量螺旋CT仿真内镜技术检查,以病理检查结果为金标准,对比分析常规CT检查和低剂量螺旋CT仿真内镜技术检查的准确率.结果:经病理检查确诊有120例为恶性结直肠癌,另外40例为良性结直肠肿瘤;低剂量螺旋CT仿真内镜检查的灵敏度、特异度、良性预测值、恶性预测值、诊断准确率均明显高于常规CT检查,差异有统计学意义(x2=17.954、9.842、9.830、17.245、19.472,P<0.05);低剂量螺旋CT仿真内镜检查的DLP、CTDlw显著低于常规CT检查,差异有统计学意义(t=385.143、127.114,P<0.05).结论:低剂量螺旋CT仿真内镜技术能够准确的诊断筛查早期结直肠癌,并能够获得比CT更高的诊断灵敏度、准确度、特异度,具有重要的诊断价值.
Value and Accuracy of Low-dose Spiral CT Virtual Endoscopy in the Diagnosis of Early Colorectal Cancer
Objective:To analyze the screening value and accuracy of low-dose spiral CT virtual endoscopy in the diagnosis of early colorectal cancer.Methods:160 suspected colorectal cancer patients in the hospital from May 2020 to October 2021 were included in the study.All patients were examined with conventional CT and low-dose spiral CT virtual endoscopy,with pathological examination results as the gold standard.The accuracy of conventional CT and low-dose spiral CT virtual endoscopy was compared and analyzed.Results:120 selected cases were diagnosed as malignant colorectal cancer by pathological examination.The other 40 cases were benign colorectal tumors.Specificity,sensitivity,benign predictive value,malignant predictive value of low-dose spiral CT virtual endoscopy were significantly higher than those of conventional CT(x2=17.954,9.842,9.830,17.245,19.472;P<0.05).DLP and CTDlw of low-dose spiral CT virtual endoscopy were significantly lower than those of conventional CT(t=385.143,127.114;P<0.05).Conclusion:Low-dose of spiral CT virtual endoscopy can accurately diagnose and screen early colorectal cancer.It can obtain higher diagnostic sensitivity,accuracy and specificity than CT,and has very important diagnostic value.

Low dose spiral CT virtual endoscopyEarly colorectal cancerDiagnosisScreening valueAccuracy

刘居上、李楠馨、李慧芳

展开 >

河南科技大学第一附属医院影像中心,河南 洛阳 471000

低剂量螺旋CT仿真内镜技术 早期结直肠癌 诊断 筛查价值 准确性

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(9)