超声内镜在食管原发肿瘤放射治疗定位中的意义探讨.docVIP

精品论文 参考文献 超声内镜在食管原发肿瘤放射治疗定位中的意义探讨 （河北钢铁集团宣钢医院 河北 宣化 075100） 【摘 要】目的：探讨超声内镜在食管原发肿瘤放射治疗定位中的意义。方法：抽取我院于2012年1月到2014年12月接收治疗的54例胸段食管鳞癌患者，通过对54例患者的胸段食管鳞癌患者进行超声内镜检查和CT勾画，比较患者的大体肿瘤靶体积的差异。在对患者进行超声内镜检查之前，要进行CT模拟定位，并在超声内镜检查确定的病变位置上采用止血夹进行标记。基于CT片上的定位进行勾画GTVCT，并根据超声内镜检查定位后的止血夹标记勾画GTVEUS，然后根据GTVCT和GTVEUS的纵向长度和空间位置差异进行比较。结果：GTVCT的纵向长度为7.79厘米，GTVEUS的纵向长度为7.42厘米，两者数据比较差异无统计学意义，Pgt;0.05，两个相关系数为0.61，Plt;0.001。其中，有3例CT显示病变部位无法显示，并对剩余51例进行空间位置差异比较，GTVCT和GTVEUS的纵向空间位置吻合度为0.79，其中71%患者的空间位置不一致，有12例近端不一致，有32例远端不一致，另外没有发现和超声内镜止血夹有关的并发症。结论：超声内镜止血夹的定位手术既安全有可靠。在胸段食管鳞癌纵向GTV定位中，超声内镜是CT提供额外信息。 【关键词】超声内镜；食管肿瘤；肿瘤放射治疗；定位；止血夹 【中图分类号】R735.1 【文献标识码】B 【文章编号】1003-5028（2015）6-0619-02 【Abstract】Objective: To investigate the significance of endoscopic ultrasonography in primary esophageal cancer radiotherapy in location. Methods: selected from our hospital in 2012 January to 2014 December receivedtreatment of 54 cases of patients with thoracic esophageal squamous cell carcinoma, by endoscopic ultrasonography and CT outline of 54 patients with thoracic esophageal squamous cell carcinoma, differences ingross tumor volume compared with the. Before the endoscopic ultrasound examination on the patients, to carry outCT simulation, and to determine the location of lesions on endoscopic ultrasonography on the hemostatic clampmark. Sketch of GTVCT positioning based on CT, and according to the endoscopic ultrasonography after positioning clip marker outline GTVEUS, then according to the longitudinal length and space position between gtvct and GTVEUS were compared. Results: the longitudinal length of GTVCT is 7.79 cm, length GTVEUS is 7.42 cm, there was no significant difference between the two data, Pgt;0.05 two, the correlation coefficient was 0.61,Plt;0.001. Among them, there were 3 cases of CT showed the lesion can not be displayed, and the remaining 51 cases of space position difference, vertical space position GTVCT and GTVEUS anastomosis was 0.79, of which71% patients with spatial position