Медицинская литература. Новинки

 

 

 

 

 

 

Применение виртуальной колоноскопии у больных колоректальным раком (обзор литературы)

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Колоректальный рак занимает одно из ведущих мест в структуре заболеваемости как по частоте, так и смертности. Поэтому вопросы своевременной и ранней диагностики рака и предраковых заболеваний, уточняющей оценки распространенности злокачественного процесса не теряют своей актуальности и поэтому так велик интерес ко всем новым методам лучевой и нелучевой диагностики, которые способствуют решению этих задач. Одним из таких методов стала виртуальная колоноскопия (ВКС), ведущая свой “отсчет” с 1994 г. Этот метод широко изучается за рубежом, а в последние годы и у нас в стране. По данным литературы, ВКС рассматривается как потенциальная технология для скрининга рака толстой кишки. Это многообещающий метод реальной помощи врачу в оценке поражений толстой кишки. В целом ВКС – точный метод скрининга образований толстой кишки у бессимптомных пациентов группы среднего риска, который сравним с обычной колоноскопией с точки зрения выявления клинически значимых поражений. Как и все методы, он имеет свои преимущества и недостатки.

Ключевые слова:
виртуальная колоноскопия, толстая кишка, колоректальный рак.

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Application of Virtual Colonoscopy for Patients with Colorectal Cancer (literature review)

Colorectal cancer is high on the list of the morbidity rate in terms of both its frequency and mortality. So the issues of timely and early detection of cancer and precancerous diseases as well as specifying evaluation of malignant process propagation are still very topical and relevant. That is why so high the interest is in all the new methods of radiologic and non-radiologic diagnosis that facilitate the solution of these problems. One of these methods is virtual colonoscopy that has been in application since 1994. It has been extensively studied abroad and recently in this country. According to the literature data virtual colonoscopy is considered as a potential technology for colon cancer screening. It is a promising method of real help to a doctor with evaluation of the colonic involvement. On the whole, virtual colonoscopy is an accurate method of colon lesion screening for asymptomatic patients from the medium risk group and it is quite comparable with conventional colonoscopy in the context of detecting clinically significant morbid affection. As all the other methods, it has its advantages and disadvantages, strong and weak points.

Keywords:
virtual colonoscopy, colon, colorectal cancer.