经肛直肠超声检查对直肠癌术前分期的诊断价值
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摘要
为分析经肛直肠超声(ERUS)检查对直肠癌术前分期的诊断价值,对本院收治的107例需手术治疗的低位直肠癌患者行ERUS检查,并与手术后的病理结果进行对照分析,应用Kappa值判断两者的一致性。结果显示,ERUS检查所得T分期与病理结果中的T分期符合率为86.9%,与术后病理T分期具有较高一致性(κ=0.791,P <0.05)。结果表明,应用ERUS检查可以有效准确地判断直肠癌的分期,为治疗方案的制定提供一定依据。
This study was to analyse the diagnostic value of endorectal ultrasonography(ERUS)inspection in preoperative staging of rectal cancer,107 low rectal cancer patients to be subject to surgery admitted in author's hospital were performed ERUS inspection on,the inspection findings of patients were compared and analysed with postoperative pathological findings,then by using Kappavalue estimated both consistency.As results,the coincidence rate of T stage between ERUS and pathological results was 86.9%,which was higher consistent with postoperative pathological T stage](κ=0.791,P <0.05).Results show that implementing ERUS inspection can effectively and exactly judge the stage of rectal cancer,so that providing certain basis for developing treatment scheme.
This study was to analyse the diagnostic value of endorectal ultrasonography(ERUS)inspection in preoperative staging of rectal cancer,107 low rectal cancer patients to be subject to surgery admitted in author's hospital were performed ERUS inspection on,the inspection findings of patients were compared and analysed with postoperative pathological findings,then by using Kappavalue estimated both consistency.As results,the coincidence rate of T stage between ERUS and pathological results was 86.9%,which was higher consistent with postoperative pathological T stage](κ=0.791,P <0.05).Results show that implementing ERUS inspection can effectively and exactly judge the stage of rectal cancer,so that providing certain basis for developing treatment scheme.
引文
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[3]李金晶,陆文明,茹翱,等.直肠癌术前CEUS与MRI检查对T分期的诊断效果对比观察[J].中国现代医生,2017,55(27):105-108.
[4]黄凌敏,罗满生,杨刚.中低位直肠癌环周切缘的临床意义[J].江西医药,2009,44(6):537-541.
[5]肖颖,徐栋.经直肠双平面超声在直肠癌术前T分期中的应用价值[J].浙江医学,2017,39(16):1381-1383.
[6]Maas M,Lambregts DM,Lahaya M J,et al.T-staging of rectal cancer:accuracy of 3.0Tesla MRI compared with1.5Tesla[J].Abdom Imaging,2012,37(3):475-481.
[2]陈立达,王伟,谢晓燕,等.经直肠超声在直肠癌治疗决策中的应用价值及进展[J].中华普通外科学文献,2017,11(5):352-356.
[3]李金晶,陆文明,茹翱,等.直肠癌术前CEUS与MRI检查对T分期的诊断效果对比观察[J].中国现代医生,2017,55(27):105-108.
[4]黄凌敏,罗满生,杨刚.中低位直肠癌环周切缘的临床意义[J].江西医药,2009,44(6):537-541.
[5]肖颖,徐栋.经直肠双平面超声在直肠癌术前T分期中的应用价值[J].浙江医学,2017,39(16):1381-1383.
[6]Maas M,Lambregts DM,Lahaya M J,et al.T-staging of rectal cancer:accuracy of 3.0Tesla MRI compared with1.5Tesla[J].Abdom Imaging,2012,37(3):475-481.