單對比與雙對比鋇劑大腸攝影術對偵檢大腸隆起性病變之比較

Single Versus Double Contrast Barium Enema in the Detection of the Polypoid Lesions of Colon

高進祿(Chin-Roa Kao) ； 鄭鴻翼(Hong-Yee Cheng) ； 蔣咸嘉(Hsein-Jar Chiang)

《中華民國消化系醫學會雜誌》 3卷3期 (1986/09) Pp. 122-129

https://doi.org/10.6557/GJTa.198609_3(3).0003

摘要

During the 8-year period from May 1967 through April 1985, a total of 454 cases studied from 438 patients were pathologically proved as polyps (235 cases) or malignant tumors (219 cases) of the large bowel in Mackey Memorial Hospital. Each included patient was examined with single or double contrast colon series, and then referred for endoscopic biopsy or surgical operation. Retrospective comparison of the single and double contrast examination was done in the study, the sensitivity rate was 81.7% for the single contrast enema and 92.7% for the double contrast series (P＞0.05). For the detection of colonic polyps, we found the sensitivity was 35.7% for the single contrast enema and 68.8% for the double contrast study (P＞0.01). Therefore, double contrast was superior to single contrast examination for the detection of colonic polyps and cancer in our study.

關鍵字

大腸 ； 隆起性病變 ； 鋇劑灌腸攝影

並列摘要

During the 8-year period from May 1967 through April 1985, a total of 454 cases studied from 438 patients were pathologically proved as polyps (235 cases) or malignant tumors (219 cases) of the large bowel in Mackey Memorial Hospital. Each included patient was examined with single or double contrast colon series, and then referred for endoscopic biopsy or surgical operation. Retrospective comparison of the single and double contrast examination was done in the study, the sensitivity rate was 81.7% for the single contrast enema and 92.7% for the double contrast series (P＞0.05). For the detection of colonic polyps, we found the sensitivity was 35.7% for the single contrast enema and 68.8% for the double contrast study (P＞0.01). Therefore, double contrast was superior to single contrast examination for the detection of colonic polyps and cancer in our study.

並列關鍵字

colon ； polypoid lesion ； banium enema