钡餐与CT检查在食管癌术前诊断中应用分析.docVIP

钡餐与CT检查在食管癌术前诊断中应用分析 　　[摘要] 目的 探讨食管癌医学影像检查术前诊断价值。 方法 对本院2009年6月～2011年6月36例经病理证实的食管癌患者术前钡餐和CT表现与手术后病理结果进行比较。 结果 36例患者中按照Moss分期标准Ⅰ期1例，Ⅱ期5例，Ⅲ期21例，Ⅳ期9例。 结论 应用钡餐与CT检查可提高食管癌患者的检出率，有助于手术方式的选择及术前分期的确定。 　　[关键词] 食管癌；钡餐；16排螺旋CT；MPR重建 　　[中图分类号] R445.3 [文献标识码] A [文章编号] 1674-4721（2012）02（c）-0098-03 　　 　　Applied analysis about barium meal and CT preoperative evaluation in comparative analysis of esophageal cancer 　　ZHANG Jinwei YU Guangying 　　1. The Center of Medical Image, China Medical City Hospital (Puji Company Limited of Taizhou City in Jiangsu Province), Taizhou 225300, China; 2.Department of Ultra Audible Sound, China Medical City Hospital (Puji Company Limited of Taizhou City in Jiangsu Province), Taizhou 225300, China 　　[Abstract] Objective To discuss the diagnostic value in preoperative diagnostic of medical image examination in patients with esophageal cancer. Methods Thirty six patients with esophageal carcinoma proved by surgically and pathologically from June 2009 to June 2011 in our hospital were analyzed, their barium meal and CT findings were compared with pathologic findings. Results According to Mosss criteria in 36 cases, Ⅰstage 1 case,Ⅱstage 5 cases, Ⅲ stage 21 cases, Ⅳstage 9 cases. Conclusion Barium meal and CT preoperative evaluation examination can raise the detection rate of esophageal cancer, which is useful for the selection of the operative project and the determintion of preoperative staging. 　　[Key words] Esophageal cancer; Barium meal; 16-slice CT; MPR reconstruction 　　 　　食管癌为常见的恶性肿瘤，手术是食管癌的主要治疗手段，判断食管癌病变的位置、大小，肿瘤周围侵犯程度及食管外肿瘤转移情况，是决定患者治疗方法及判定预后重要依据。收集本院2009年6月～2011年6月收治的、经镜检或手术病理证实为食管癌的患者36例，回顾性分析术前CT、X线钡餐检查、镜检与术中所见及术后病理情况，来评价术前影像检查对食管癌手术术式及判断预后的价值。 　　1 资料与方法 　　1.1 一般资料 　　36例患者经CT、X??钡餐检查诊断为食管癌。其中，男28例，女8例，男女之比为3.5∶1，年龄45～87岁，平均65.3岁，与其他文献报道相仿[1]。患者均有不同程度进食后胸骨后疼痛、烧灼感，并出现渐进性进食后梗噎感，饮水后症状缓解或消失；消瘦。 　　1.2 检查技术 　　检查设备为GE Lightspeed 16螺旋CT机及GE Precision数字胃肠机。所有患者均行CT平扫及三期动态增强扫描。对CT采集后感兴趣区的原始图像根据病变不同部位和范围常规行MPR矢状位冠状位重建。所有患者均做X线钡餐检查，摄取食管充盈相和