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目的:研究结肠癌患者的X线表现以及临床鉴别诊断。方法:我院选择2010年4月-2012年4月间经手术证实为结肠癌的52例患者,在手术前对其进行X线检查,总结其X线诊断要点以及与其它疾病的鉴别诊断。结果:16例患者的病变部位在盲肠升结肠,12例在直肠,6例在乙状结肠,6例在降结肠,12例在直肠,病变位于乙状结肠和直肠的患者均同时进行肠镜检查。结肠癌患者的X表现较为复发多变,依据肿瘤生长方式的不同可将其分为四种类型,分别为:肿块型、溃疡型、浸润型及混合型。结论:消化道的恶性肿瘤中结肠癌即为其中最常见的一种,X线的气钡双重造影在诊断结肠癌时具有重要的意义。
Objective: To study the X-ray findings and differential diagnosis of colon cancer patients. METHODS: Fifty-two patients with colon cancer confirmed by surgery from April 2010 to April 2012 were enrolled in our hospital. X-ray examination was performed before surgery to summarize the main points of X-ray diagnosis and differential diagnosis with other diseases. RESULTS: In 16 patients, the lesions were located in the cecum and ascending colon, 12 in the rectum, 6 in the sigmoid colon, 6 in the descending colon, and 12 in the rectum. Lesions were located in both the sigmoid colon and the rectum with colonoscopy. The X performance of colon cancer patients is more recurrent and changeable. According to the different tumor growth patterns, it can be divided into four types: tumor type, ulcer type, infiltration type, and mixed type. Conclusion: Colon cancer is one of the most common malignant tumors in the digestive tract. X-ray double contrast angiography is of great significance in the diagnosis of colon cancer.