摘要
目的探讨多排螺旋CT联合超声内镜(EUS)检查食管癌术前分期的准确性。方法选取2014年1月-2016年1月在我院行手术治疗的92例食管癌患者,术前均采用多排螺旋CT和EUS检查,依据检查结果对肿瘤进行术前T、N分期,并与术后病理结果进行比较,观察CT联合EUS联合检查判定食管癌分期的准确性。结果与术后病理证实T分期结果相比,CT对食管癌术前T分期的准确率为75.00%,EUS对食管癌术前T分期的准确率为71.74%,CT联合EUS的准确率为84.78%,CT联合EUS的准确率明显高于CT、EUS检测准确率(X^2=6.713,P=0.035);T1-T2期准确率方面CT联合EUS明显高于EUS单独检查(X^2=11.473,P=0.001);与CT检查准确率无明显差异(X^2=2.610,P=0.106),CT对食管癌术前N分期的准确率为73.91%,EUS对食管癌术前T分期的准确率为75.00%,CT联合EUS的准确率为79.35%,CT联合EUS的准确率高于单独使用CT、EUS检测的准确率,但无明显差异(X^2=0.836,P=0.658)。结论多排螺旋CT联合EUS有助于对食管癌术前分期的判断,克服单一方式检查的弊端,提高术前分期的准确性。
Objective To study the accuracy of the preoperative period of multiple row helical CT combined endoscopic ultrasonography（EUS）. Methods 92 cases of surgical treatment of esophageal cancer patients from January 2014 to January 2016 were selected, multiple row helical CT and EUS examination were preoperative adopted, according to the inspection result to preoperative T and N staging of the tumor, and postoperative pathological results were compared, the accuracy of CT combined with EUS was observed.Results Compared with the postoperative pathology confirmed T staging results, the CT rate of accurate of preoperative T staging was75.00%, the EUS rate of accurate of preoperative T staging was 71.74%, the CT combine with EUS rate of accurate of preoperative T staging was 84.78%, and the CT combine with EUS rate of accurate was obviously higher than that of CT, EUS（X^2= 6.713, P = 6.713）. T1 and T2 period in CT combined EUS accuracy significantly higher than that of the EUS examination（X^2= 11.473,P=11.473）. There was no obvious difference between CT examination accuracy（X^2=2.610,P=2.610）, the CT rate of accurate of esophageal cancer preoperative N period was 73.91%, the EUS rate of accurate of esophageal cancer preoperative T period was 75.00%, the CT combine with EUS rate of accurate was 79.35%, the CT combine with EUS rate of accurate was higher than that of using CT or EUS examination, there was no obvious difference（X^2=0.836, P=0.836）. Conclusion Multiple row helical CT combine with EUS is helpful to judge the esophageal preoperative period, it overcomes the disadvantages of a single way, and improve the accuracy of preoperative period.
出处
《新疆医学》
2016年第9期1148-1151,共4页
Xinjiang Medical Journal
关键词
多排螺旋CT
超声内镜
食管癌
Multi Row Helical CT
Endoscopic Ultrasonography
Esophageal Cancer
