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目的探究并分析气钡双对比造影、纤维结肠镜以及CT三种方法在结肠癌中的不同诊断价值。方法择取2014年3月至2016年3月期间于笔者所在医院治疗结肠癌的70例患者(早期、中晚期各35例),分别为其实行气钡双对比造影、纤维结肠镜以及CT三项检查,并对比这三种检查方法的诊断准确性。结果 (1)早期结肠癌:三项检查的诊断符合率分别为80%,91.43%,51.43%;(2)中晚期结肠癌:三项检查的诊断符合率分别为94.29%,91.43%,88.57%。气钡双对比造影中可见肠道狭窄、肠壁增厚等表现,结肠镜中可见黏膜破坏,CT中可见1例肝转移。结论临床应根据患者的分期结果选择适宜的方法进行联合检测,如早期选择气钡双对比造影+纤维结肠镜,中晚期选择气钡双对比造影+纤维结肠镜+CT,以预防漏诊、误诊的发生。
Objective To explore and analyze the different diagnostic value of barium-double contrast imaging, colonoscopy and CT in colon cancer. Methods Seventy patients (35 in early stage and middle stage) with colorectal cancer who were treated in our hospital from March 2014 to March 2016 were enrolled in this study. They were double contrast barium-air contrast, colonoscopy and CT Items, and compare the diagnostic accuracy of these three methods. Results (1) Early colon cancer: The diagnostic coincidence rates of the three examinations were 80%, 91.43% and 51.43% respectively. (2) The diagnostic accuracy of the three examinations was 94.29%, 91.43% and 88.57 %. Barium double contrast angiography showed intestinal stenosis, such as the performance of the intestinal wall thickening, mucosal damage seen in the colonoscopy, CT showed a case of liver metastases. Conclusion Clinic should be based on the staging of patients choose the appropriate method for joint detection, such as the early selection of barium double contrast angiography + fiber colonoscopy, mid-late choice barium double contrast radiography + colonoscopy + CT to prevent misdiagnosis occur.