Chen Y M, Ott D J, Wolfman N T, Gelfand D W, Karsteadt N, Bechtold R E
Radiology. 1987 May;163(2):307-10. doi: 10.1148/radiology.163.2.3562810.
The efficacy of the barium enema examination and abdominal computed tomography (CT) was investigated in 81 patients who had undergone operation for colorectal carcinoma. Recurrent disease was found in 52 patients and was divided into local (anastomotic and perianastomotic) and remote (distant and hepatic metastases) types. In 32 patients with locally recurrent carcinoma, the sensitivity of the barium enema examination was 88%; for CT it was 69%. Conversely, the barium enema examination was not useful for detecting remote metastases shown on CT, which disclosed disease at one or more sites in 47 (90%) of the 52 patients. CT best evaluated recurrences remote from the anastomosis, pelvic recurrences in patients with colostomies, and hepatic metastases. Barium enema examination and CT were therefore found to be complementary modalities.
对81例接受过结直肠癌手术的患者进行了钡剂灌肠检查和腹部计算机断层扫描（CT）的疗效研究。52例患者发现有复发性疾病，分为局部（吻合口及吻合口周围）和远处（远处及肝转移）类型。在32例局部复发性癌患者中，钡剂灌肠检查的敏感性为88%；CT为69%。相反，钡剂灌肠检查对检测CT显示的远处转移无用，CT在52例患者中的47例（90%）发现一处或多处有病变。CT对评估吻合口远处的复发、结肠造口患者的盆腔复发以及肝转移效果最佳。因此，钡剂灌肠检查和CT是互补的检查方式。
