摘要
目的分析术前多层螺旋电子计算机断层扫描(MSCT)检查对胸段食管癌手术切除可行性的评估价值。方法回顾性分析我院经手术病理学检查确诊的64例胸段食管癌患者临床资料。比较64例患者术前MSCT检查结果与手术病理结果差异,分析术前MSCT检查对胸段食管癌患者手术可行性的评估价值。结果64例胸段食管癌患者经手术病理诊断T1期11例,T2期14例,T3期23例,T4期16例;术前MSCT诊断准确率分别为36.36%、42.86%、65.22%、81.25%,共38例与手术病理诊断相同,准确率为59.38%。共清扫870枚淋巴结,经手术病理诊断转移淋巴结102枚;其中与术前MSCT诊断阳性结果相同的有69枚,术前MSCT诊断准确共581枚,准确率66.78%。气管受侵8例,心包受侵3例,胸主动脉受侵5例;术前MSCT分别诊断准确7例(87.50%)、2例(66.67%)、4例(80.00%),术前MSCT诊断周围组织受侵准确共13例(81.25%)。结论术前MSCT检查在评估胸段食管癌手术切除可行性中具有重要作用,不仅能诊断患者分期,亦能判断淋巴结转移及侵犯周围组织情况,于预测患者预后也有积极意义。
Objective To analyze the evaluated value of preoperative multi-slice spiral computed tomography (MSCT) in the feasibility of surgical resection of thoracic esophageal cancer.Methods The clinical data of 64 patients with thoracic esophageal cancer diagnosed by surgical pathology were analyzed retrospectively.The differences of preoperative MSCT findings and surgical pathology results were compared among 64 patients.The evaluated value of preoperative MSCT in the surgical feasibility of patients with thoracic esophageal cancer was analyzed.Results Among 64 patients with thoracic esophageal cancer who underwent surgical pathological diagnosis,there were 11 cases in T1 stage,14 cases in T2 stage,23 cases in T3 stage and 16 cases in T4 stage,and the diagnostic accuracy rates of preoperative MSCT were 36.36%,42.86%,65.22% and 81.25% respectively,and a total of 38 cases were the same as surgical pathological diagnosis, and the accuracy rate was 59.38%.A total of 870 lymph nodes were removed and 102 metastatic lymph nodes were diagnosed by surgical pathology.Among them,69 nodes were the same as the positive results of preoperative diagnosis of MSCT.The preoperative MSCT diagnosis was accurate in 581 with an accuracy rate of 66.78%.There were 8 cases of tracheal invasion,3 cases of pericardial invasion and 5 cases of thoracic aorta invasion. The preoperative MSCT diagnosis was accurate in 7 cases (87.50%),2 cases (66.67%) and 4 cases (80.00%),and a total of 13 cases (81.25%) were accurate in the diagnosis of surrounding tissues invasion by preoperative MSCT.Conclusion Preoperative MSCT examination plays an important role in evaluating the feasibility of surgical resection of thoracic esophageal cancer.And it can not only diagnose the stages,but also determine the lymph node metastasis and invasion of surrounding tissues.And it also has positive significance in predicting the prognosis of patients.
作者
郑皓
ZHENG Hao(Department of Radiology,West Campus,Tangshan Traditional Chinese Medicine Hospital,Tangshan 063000,Hebei Province,China)
出处
《中国CT和MRI杂志》
2019年第10期53-55,共3页
Chinese Journal of CT and MRI
基金
河北省卫生和计划生育委员会课题(编号:20171398)
关键词
MSCT
胸段食管癌
手术
病理分期
淋巴结转移
MSCT
Thoracic Esophageal Cancer
Surgery
Pathological Stage
Lymph Node Metastasis
