摘要
目的:探究螺旋CT增强扫描对食管癌术前分期的效果。方法:择取2016年10月至2017年10月期间我院收治的食管癌患者共136例为研究对象,所有患者均行纤维内镜、X线钡餐透视并经手术病理确诊,手术前本组患者行螺旋CT增强扫描检查,获得的分期结果与患者术后病理结果进行比较。结果:以术后病理检查为金标准,螺旋CT增强扫描的检查结果显示,T分期诊断准确率为84.56%(115/136),N分期诊断准确率为75%(102/136),诊断准确率较高。同时CT扫描在食管癌术前分期检查效果与术后病理检查结果具有良好一致性(Kappa值分别为0.782和0.743,P<0.05)。结论:食管癌患者术前行螺旋CT增强扫描可有效对患者病情分期进行了解,有利于患者手术方案和其他治疗方法的制定,因此该种检查方式值得在临床中进行推广应用。
Objective:To explore the effect of spiral CT enhanced scanning on preoperative staging of esophageal cancer.Methods:A total of 136 patients with esophageal cancer admitted to our hospital from October 2016 to October 2017 were selected as the study subjects. All patients underwent fiberoptic endoscopy, X-ray barium meal fluoroscopy and confirmed by surgery and pathology. The patients underwent spiral CT enhanced scanning before operation. The staging results were compared with the pathological results after operation.Results:According to the gold standard of pathological examination after operation, the results of spiral CT enhanced scan showed that the diagnostic accuracy of T staging was 84.56%(115/136), and that of N staging was 75%(102/136). At the same time, the staging effect of CT scan in esophageal cancer before operation was in good agreement with the pathological results after operation(Kappa values were 0.782 and 0.743, respectively, P < 0.05).Conclusion:Enhanced spiral CT scanning before esophageal cancer surgery can effectively understand the patient’s disease stages, which is conducive to the formulation of patients’ surgical plans and other treatment methods, so it is worth popularizing and applying in clinical practice.
作者
何晓清
谢锡浩
皱亚毅
阮兵
戴顺钦
He Xiaoqing;Xie Xihao;Ruan Bing;Dai Shunqin(Gaozhou People's Hospital of Guangdong Province Guangdong,Gaozhou 525200)
出处
《现代医用影像学》
2019年第7期1527-1529,共3页
Modern Medical Imageology
关键词
螺旋CT
增强扫描
食管癌
术前分期
Spiral CT
Enhanced scanning
Esophageal cancer
Preoperative staging
