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International Journal of Clinical Research. 2020; 4: (1) ; 10.12208/j.ijcr.20200014.

Effect of MSCT combined with serum Fib and CRP levels on the accuracy of preoperative N and TNM staging diagnosis in elderly patients with colon cancer
MSCT联合血清Fib,CRP水平检测对老年结肠癌患者术前N,TNM分期诊断准确率的影响

作者: 刘玲会*

云南省老年病医院检验科 云南昆明

*通讯作者:刘玲会,单位:云南省老年病医院检验科 云南昆明;

引用本文: 刘玲会. MSCT联合血清Fib,CRP水平检测对老年结肠癌患者术前N,TNM分期诊断准确率的影响[J]. 国际临床研究杂志, 2020, 4(1) : 47-49.
Published: 2020-10-15

摘要

目的 对老年结肠癌患者术前N,TNM分期诊断中MSCT联合血清Fib,CRP水平检测的应用价值进行分析。方法 本次实验对象为本院老年结肠癌患者,实验时间集中在2017年9月-2020年7月,共计52例患者参与本次实验中来。在实验过程中,医护人员应利用多层螺旋CT、血清纤维蛋白、C-反应蛋白水平检测、手术病理检查等方式对患者实施检查,本次实验金标准为病理检查,对比和分析所选患者在不同检测手段下的诊断结果。结果 对本次实验展开分析,在老年结肠癌患者术前N分期诊断中,联合检测准确率相比单独检测有着较大幅度的提升,数据之间差异凸显,(p<0.05);系统分析本次实验,在老年结肠癌患者术前TNM分期诊断中,联合检测准确率相比单独检测有着较大幅度的提升,数据之间差异突出,(p<0.05)。结论 在老年结肠癌患者术前N,TNM分期诊断中MSCT联合血清Fib,CRP水平检测有着较高的应用价值,其在促进诊断准确率提升方面作用较为突出,能够为医护人员开展手术治疗提供可靠的依据,实现医护工作水平的大幅提升。

关键词: 老年患者;结肠癌;多层螺旋CT;应用价值;诊断准确率

Abstract

Objective To analyze the application value of MSCT combined with serum Fib and CRP levels in the preoperative diagnosis of N, TNM staging in elderly patients with colon cancer.
Methods: The subjects of this experiment were elderly patients with colon cancer in this hospital. The experiment time was concentrated from September 2017 to July 2020. A total of 52 patients participated in this experiment. During the experiment, medical staff should use multi-slice spiral CT, serum fibrin, C-reactive protein level detection, surgical pathological examination and other methods to perform examinations on patients. The gold standard for this experiment is pathological examination. Compare and analyze the selected patients Diagnosis results under different detection methods.
Results: Based on the analysis of this experiment, in the preoperative N staging diagnosis of elderly patients with colon cancer, the accuracy of combined detection has been greatly improved compared with single detection, and the differences between the data are prominent, (p<0.05); system analysis In this experiment, in the preoperative TNM staging diagnosis of elderly colon cancer patients, the accuracy of combined detection has been greatly improved compared with single detection, and the difference between the data is prominent (p<0.05).
Conclusion  : MSCT combined with serum Fib and CRP level detection in the preoperative N, TNM staging diagnosis of elderly colon cancer patients has a high application value. It has a prominent role in promoting the improvement of diagnostic accuracy and can provide medical staff for surgical treatment. Reliable basis to achieve a substantial improvement in the level of medical care.

Key words: Elderly patients; colon cancer; multi-slice spiral CT; application value; diagnostic accuracy

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