胸部CT和钡餐透视检查对食管癌诊断价值研究.docVIP

胸部CT和钡餐透视检查对食管癌诊断价值研究 　　[摘要] 目的 探讨胸部钡餐透视、CT和胃镜对食管癌诊断的应用价值。方法 整群选取该医院2014年1月―2015年12月间就诊的76例食管癌患者作为研究对象，选取同期44例食管部良性病变患者作为对照，并根据检查方法的不同分为钡餐透视、CT、支气管镜，所有患者均进行以上检查，对比和分析各种方法在诊断中的准确性。结果 钡餐透视对食管癌的诊断准确率为67.11%，CT为90.79%，胃镜为92.11%，CT与胃镜对食管癌的诊断准确率高于钡餐透视诊断，对食管部病变的诊断准确率CT高于钡餐透视，差异有统计学意义（χ2=5.37，P0.05）。结论 临床上在对食管癌初诊筛查中，可将胸部钡餐透视放在第一位，CT和胃镜作为进一步检查，这对提高临床对食管癌的确诊率具有重要意义。 　　[关键词] 食管癌；钡餐透视计算机；CT断层摄影术；支气管镜检查 　　[中图分类号] R735.7 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0194-02 　　[Abstract] Objective To discuss the application value of chest barium meal fluoroscopy， CT and gastroscope in diagnosis of esophagus cancer. Methods 76 cases of patients with esophagus cancer diagnosed in our hospital from January 2014 to December 2015 were selected， 44 cases of patients with benign lesions of pars oesophagea treated at the same period were selected for comparison， the different examination methods included barium meal fluoroscopy， CT and bronchoscope， all patients received the above examinations， and the diagnostic accuracy of various methods was compared and analyzed. Results The diagnostic accuracy rates of barium meal fluoroscopy， CT and gastroscope for esophagus cancer were respectively 67.11%， 90.79% and 92.11%， the diagnostic accuracy rate of CT and gastroscope for esophagus cancer was higher than that of barium meal fluoroscopic diagnosis， the diagnostic accuracy rate of CT for lesions of pars oesophagea was higher than that of barium meal fluoroscopy with statistical difference（χ2=5.37， P0.05）. Conclusion Chest barium meal fluoroscopy can be in the first place in the initial diagnosis and screening of esophagus cancer in clinic， and the CT and gastroscope can be used for further examination， which is of important significance to improve the diagnosis rate of esophagus cancer in clinic. 　　[Key words] Esophagus cancer； Barium meal fluoroscopic computer； CT tomography； Bronchoscopy examination 　　随着人们生活方式的改变，患有食管癌的发病率逐年升高，食管癌确切病因还不明确，目前公认与饮食刺激性食物、食品污染、职业因素及机体免疫状况有关。令人遗憾的是，大多数病人在就诊时已属晚期，故