PET―CT术前检测食管癌、非小细胞肺癌淋巴结转移的对照分析.docVIP

PET―CT术前检测食管癌、非小细胞肺癌淋巴结转移的对照分析 　　[摘 要] 目的：比较PET-CT术前检测食管癌（EC）、非小细胞肺癌（NSCLC）淋巴结转移的准确度，观察其诊断EC、NSCLC淋巴结转移的临床价值。方法：43例EC患者及113例NSCLC患者术前1周接受PET-CT检查，以术后病理检查结果为金标准，计算并对比术前PET-CT诊断EC、NSCLC淋巴结转移的灵敏度、特异性及准确率，分析其临床参考价值。结果：43例EC患者共切取淋巴结350枚（188组），病理诊断检出59枚淋巴结转移（16.86%），113例NSCLC患者共切取淋巴结494枚（215组），病理诊断检出131枚淋巴结转移（26.52%）。术前PET-CT检测EC淋巴结转移的灵敏度、阴性预测值高于NSCLC，差异有统计学意义（P0.05）。结论：PET-CT术前检测EC、NSCLC淋巴结转移的参考价值均较高，且评估EC淋巴结转移的灵敏度更为理想。 　　[关键词] 正电子发射型计算机断层扫描；食管癌；非小细胞肺癌；淋巴结转移 　　中图分类号：R734.2 文献标识码：A 文章编号：2095-5200（2017）05-018-03 　　DOI：10.11876/mimt201705008 　　Comparative analysis on the test accuracy of PET-CT on esophagus cancer and non-small cell lung cancer QU Junfeng， CHANG Hao， LIAO Fei， ZHAO Zhihong， WANG Ju. （Department of Thoracic Surgery，First Affiliated Hospital of Harbin Medical University， Harbin 150001， china） 　　[Abstract] Objective： The objective of this study was to compare the accuracy of PET-CT on EC and NSCLC lymphatic metastasis and observe its clinical value in diagnose these lymphatic metastasis. Methods： 43 cases of EC patients and 113 NSCLC patients were examined by means of PET-CT one week before operation. The pathological results were considered as the criteria to measure the accuracy. The sensitivity， specificity and accuracy of the preoperative and postoperative PET-CT were calculated and compared. Results： Of 43 EC patients， 350 （188 groups） lymphatic gland were excised and the pathological results showed that 59 lymphatic metastasis occurred （16.86%）； of 113 NSCLC patients， 494 （215 groups） lymphatic gland were excised and the pathological results showed that 131 lymphatic metastasis occurred （26.52%）. The test accuracy and negative predictive value of PET-CT on EC before operation were higher than that on NSCLC， and the difference was statistically significant （P0.05）. Conclusions： PET-CT has higher reference value in the test accuracy of EC and NSCLS lymphatic metastasis and the sensitivity on the evaluation of EC lymphatic metastasis is relatively id