摘要
目的:综合评价 CT和钡餐造影在食管癌诊断和治疗中的应用价值。方法:16 0例食管癌患者均行 CT和钡餐造影 ,其中 5 1例行放射治疗 CT定位 ,对其影像表现进行对照分析。 结果 :(1)钡餐造影能准确定位 ,显示病变实际长度 ,确定病理类型。 (2 ) CT外侵检出率为 80 .6 %,钡餐造影为 31.8%,以中上胸段食管癌外侵率高 ,主要侵犯部位为气管、支气管和主动脉。(3)淋巴结检出率 CT为 37.5 %,钡餐造影为 0。(4 ) CT发现有远处转移 6例。结论:钡餐造影是食管癌诊断的首选检查手段 ,同时患者在术前或放射治疗前进行 CT检查 ,为确定临床分期、估计预后、选择合适的治疗方法、设计最佳的放射治疗计划以达到最理想的治疗效果提供重要的依据和参考价值 ,是钡餐造影重要的补充手段。
Objective: To evaluate comprehensively the clinical value of CT and esophageal barium meal in esophageal carcinoma. Methods: CT imaging and esophageal barium meal were performed in 160 cases. Fifty one cases out of the 160 cases underwent CT location and their images were analyzed comparatively. Results: (1) The esophageal barium meal was superior in locating accurately,appearing actual length and determining pathologic type. (2) The rate of extra-esophageal invasion were 80.6% and 31.8% in CT and esophagography respectively; the upper and middle thoracic segment of esophagus were highest in all cases. Major locations of invasion for CT were trachea,bronchus and aorta. (3) The rate of lymgh nodes metastasis were 37.5% in CT, zero in X-ray barium meal.(4)Metastasis of other organs were found by CT in 6 cases. Conculsion: X-ray barium meal examination is the first means to diagnose esophageal cancer. Undergoing CT examination before operation or radiotherapy can provide improtant basis and reference value for determining clinical stage, estimating prognosis, choosing rational therapeutic methods and designing the best radiotherapy plans in order to attain the most ideal therapeutic effect. So it is an additional method for esophageal barium meal.
出处
《新疆医科大学学报》
CAS
2002年第1期91-93,共3页
Journal of Xinjiang Medical University
关键词
食管癌
CT
钡餐造影
诊断
治疗
esophageal cancer
CT
esophageal barium meal
analyze comparatively
