Clinical value of multi-slice spiral CT in evaluating preoperative TNN staging and postoperative recurrence and metastasis of colon carcinoma.

Objective: To evaluate the clinical value of multi-slice spiral CT in preoperative TNN staging and postoperative recurrence and metastasis of colon carcinoma, and to provide evidence for the reliability of CT in the diagnosis of colon carcinoma METHODS: 89 patients with colon carcinoma diagnosed pathologically in our hospital from July 2020 to April 2023 were selected retrospectively. The preoperative TNN staging and postoperative recurrence and metastasis were monitored by 64 row 128 layer spiral CT. The diagnostic coincidence rate, TNM staging coincidence rate and postoperative recurrent TNM staging accuracy were evaluated according to the pathological diagnosis RESULTS: The diagnostic coincidence rate of multi-slice spiral CT was 97.8 % (87/89), and the detection rate of lymph nodes was 86.1 % (31/36). The coincidence rate of T staging was 93.3 % (83/89), N staging was 91.0 % (81/89), M staging was 100 % (Kappa=0.897,0.879, 1.000). The diagnosis of recurrent TNM stage was consistent (Kappa=0.893, 0.801, 1.000) CONCLUSION: Multi-slice spiral CT is of high diagnostic coincidence rate, high accuracy of TNM staging and rapid noninvasive examination. It can obtain reliable results in preoperative staging and postoperative recurrence and metastasis diagnosis, which is worth popularizing in clinic.