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目的探讨黏液腺癌患者早期诊断价值。方法对商丘市第一人民医院2012年6月—2013年6月收治的27例肠道黏液腺癌中的10例患者的临床资料进行回顾性分析。结果 10例患者多出现腹痛、腹胀以及血便等症状,经CT扫描检查后,发现发病部位位于结肠的患者共有7例,位于直肠的有2例,位于盲升结肠的有1例;肠壁囊实性增厚7例,伴肠腔内囊实性肿块3例,有1例患者还出现了肠腔外囊性肿块。患者的CT检查结果与初步的诊断结果均相符合,没有出现误诊的现象。结论对于疑似肠道黏液腺癌的患者,进行CT扫面检查,可以清楚地观察到患者的肠道具体状况,如患病部位、病情严重程度等,对于病情的诊断以及治疗有临床指导意义。
Objective To explore the value of early diagnosis of mucinous adenocarcinoma. Methods The clinical data of 10 cases of 27 cases of intestinal mucinous adenocarcinoma admitted to the First People’s Hospital of Shangqiu City from June 2012 to June 2013 were retrospectively analyzed. Results Ten patients had abdominal pain, abdominal distension, bloody stools and other symptoms. After CT scan examination, there were 7 patients in the colon at the onset site, 2 in the rectum and 1 in the ascending colon; Solid thickening in 7 cases, accompanied by intestinal cystic solid mass in 3 cases, 1 patient also appeared in the extraluminal cystic mass. Patients with CT examination results and preliminary diagnostic results are consistent, there is no misdiagnosis. Conclusions CT scan examination of patients with suspected mucinous gland carcinoma can clearly observe the specific conditions of the intestine, such as the location of the disease, the severity of the illness, etc., and is of clinical significance for the diagnosis and treatment of the disease.