摘要：目的：研究64排螺旋CT对结直肠癌合并肠梗阻的诊断价值。方法：回顾性分析我院在2010年5月至2013年12月收治的56例经手术病理证实为结直肠癌合并肠梗阻患者的临床资料及CT表现，所有患者均行64排螺旋CT平扫加增强加三维重建，后将患者的CT资料与病理结果进行比较分析。结果：54例患者CT诊断为结直肠癌，结肠癌诊断率为96.4%，53例诊断合并肠梗阻，肠梗阻诊断率为94.6%，与病理检查结果差异不大，无统计学意义(P>0.05)。结论：多排螺旋CT检查可准确了解结直肠癌的病变部位，肿块分期、邻近侵犯及远处转移情况，伴随肠梗阻的程度及性质，为手术治疗提供准确的影像资料，降低误诊率。

    关键词：64排螺旋CT结直肠癌肠梗阻

    Doi:10.3969/j.issn.1671-8801.2014.08.025Colorectal cancer merger row spiral CT in the diagnosis of intestinal obstruction

    Zhang SanhongHu DongHuang Le et al.

    Abstract:Objective:To study the 64 row spiral CT in the diagnosis of colorectal cancer with value.Methods: Retrospective analysis in May 2010 to December 2013 were 56 cases confirmed by surgery pathology for colorectal cancer with intestinal obstruction in patients with clinical data and CT manifestations,all patients were 64 row helical CT scan and enhanced with 3 d reconstruction,after compared with the pathological results of the CT data analysis.Result:54 cases of CT diagnosis of patients with colorectal cancer,colon cancer diagnostic rate was 96.4%,53 cases to diagnose intestinal obstruction,intestinal obstruction diagnostic rate was 94.6%,the difference is not big,with pathological findings no statistical significance (P > 0.05).Conclusion:Multiple row helical CT examination can accurately understand the pathological changes of colorectal cancer,tumor staging,adjacent invasion and distant metastasis,accompanied with intestinal obstruction,the degree and nature of provide accurate image data for surgical treatment,reduce the misdiagnosis rate. ......