X线钡餐造影和CT检查在食管癌诊断中应用对比观察.docVIP

X线钡餐造影和CT检查在食管癌诊断中应用对比观察 　　【摘要】 目的 对比分析X线钡餐造影和CT检查应用于食管癌的诊断价值。方法 已确诊食管癌患者95例， 所有患者分别予以X线钡餐造影检查和CT检查， 比较两种检查方法诊断结果。结果 两种检查准确性和灵敏度均为100.0%；95例患者中， 颈段病变11例， 胸上段、中断和下段病变分别为25例、40例和14例， 腹段病变5例；病变长度≤3 cm 35例， 3～5 cm 30例， 5～10 cm 30例；腺癌25例， 鳞状上皮癌70例；X线钡餐造影在癌变部位黏膜损坏、功能性分型诊断中占有较好优势， CT检查对病变部位管壁、管腔浸润程度和癌变转移、周围侵袭诊断具有明显优势， 对临床分期、指导手术等方面意义十分重要。结论 X线钡餐造影和CT检查在食管癌的诊断中分别具有各自优势， 两者联合使用对病变的影像学诊断学价值极高， 有利于临床治疗的顺利进行。 　　【关键词】 X线钡餐造影；CT检查；食管癌；诊断 　　DOI：10.14163/j.cnki.11-5547/r.2016.16.009 　　【Abstract】 Objective To compare and analyze diagnostic value of application by X-ray barium meal examination and CT examination for esophagus cancer. Methods A total of 95 diagnosed esophagus cancer patients received X-ray barium meal examination and CT examination， and their diagnosis outcomes were compared. Results Accuracy and sensitivity were all 100.0% in both measures. Among the 95 patients， there were 11 cases with neck segment lesions， 25 cases with upper thoracic lesions， 40 cases with midthoracic lesions， 14 cases with lower thoracic lesions， and 5 cases with abdominal segment lesions. There were 35 cases with lesion length ≤3 cm， 30 cases with 3～5 cm， and 30 cases with 5～10 cm. There were 25 adenocarcinoma cases and 70 squamous epithelium carcinoma cases. X-ray barium meal examination showed advantages in diagnosis of lesion mucosal damage and functional classification， while CT examination’s advantages included diagnosis of lesion tube wall and tube wall infiltration， metastasis， and invasion， and it contained important significance for clinical staging and operation guidance. Conclusion X-ray barium meal examination and CT examination all contain their own advantages in diagnosis of esophagus cancer， and their combination shows highly imaging and diagnostic value. This method can guarantee successful clinical treatment. 　　【Key words】 X-ray barium meal examination； CT examination； Esophagus cancer； Diagnosis 　　食管癌属于消化内科胃肠道肿瘤中最常见恶性肿瘤之一， 高发于食管上皮组织， 多见食管中段， 以鳞癌为主， 其发病诱因一般与遗传、不规律饮食、酗酒、环