医疗卫生装备2024，Vol.45Issue(7)：62-66,5.DOI:10.19745/j.1003-8868.2024133
大肠双重超声造影在结直肠病变中的诊断价值
Value of colorectal double contrast-enhanced ultrasonography of large intestine for diagnosing colorectal lesions
邓东丽 1吴文芳 1鲁媛媛 2李沁园 1袁倩 1刘尔球 1李宙 1徐晓红1
作者信息
- 1. 广东医科大学附属医院超声医学科,广东湛江 524001
- 2. 解放军总医院第二医学中心超声科,北京 100859
- 折叠
摘要
Abstract
Objective To investigate the clinical application value of colorectal double contrast-enhanced ultrasonography in diagnosing colorectal lesions and TN staging of colorectal cancer.Methods The clinical data of 479 patients with positive colorectal doulble contrast-enhanced ultrasonography results admitted to some hospital from November 2019 to December 2022 were selected retrospectively.The distributions of colorectal lesions and TN stages of colorectal cancer diagnosed by colorectal double contrast-enhanced ultrasonography were counted using the pathological results as the gold standard.The clinical diagnostic efficacy of colorectal double contrast-enhanced ultrasonography for TN staging of colorectal cancer was analyzed,and the ROC curves of the T and N staging models for diagnosing colorectal cancer were plotted by applying the 1VSRest strategy.SAS 9.4 statistical software was used to analyze the data.Results Among the 479 patients included,there were 462 cases in which the pathological diagnosis and ultrasound diagnosis were consistent with each other,with a compliance rate of 96.5％;there were 427 cases of colorectal cancer,accounting for 89.1％.Colorectal double contrast-enhanced ultrasonography had the accuracies being 96％,82％,63％,79％and 97％respectively for T1,T2,T3,T4a and T4b stages of colorectal cancer,with the micro-mean value of the accuracy being 83％.The accuracies were 62％,68％and 80％for NO,N1 and N2 stages of colorectal cancer,with the micro-mean value of the accuracy being 70％.The micro-mean value for T staing model to diagnose colorectal cancer was 0.92,and the macro-mean value was 0.84;the micro-mean value for N staing model to diagnose colorectal cancer was 0.88,and the macro-mean value was 0.85.Conclusion Colorectal doube contrast-enhanced ultrasonography is effective for diagnosing colorectal lesions,and provides references for TN staging of colorectal cancer.[Chinese Medical Equipment Journal,2024,45(7):62-66]关键词
大肠双重超声造影/结直肠病变/结直肠癌/TN分期Key words
colorectal doube contrast-enhanced ultrasonography/colorectal lesion/colorectal cancer/TN staging分类
基础医学引用本文复制引用
邓东丽,吴文芳,鲁媛媛,李沁园,袁倩,刘尔球,李宙,徐晓红..大肠双重超声造影在结直肠病变中的诊断价值[J].医疗卫生装备,2024,45(7):62-66,5.
