螺旋CT检查诊断胸段食管癌淋巴结转移的准确性探讨

发布时间：2018-04-20 18:34

本文选题：螺旋CT + 胸段食管癌淋巴结转移诊断准确性　；参考：《现代医用影像学》2016年06期

【摘要】：目的:对螺旋CT诊断胸段食管癌淋巴结转移的准确性进行探讨。材料与方法:选择我院2014年1月-2016年6月收治的淋巴结转移的胸段食管癌疑似患者病历68例,在手术前对其进行螺旋CT检查,在手术后进行病理学检查,并对术前CT检查结果与术后病理学证实结果的符合率。结果:经螺旋CT检查证实,本组68例患者中有65例存在不同程度的胸段食管癌淋巴结转移;经病理检查证实,以上检查结果完全准确,诊断准确率达95.6%。本组研究对象的癌灶转移的淋巴结主要包括为:气管旁淋巴结、最上纵隔淋巴结、主肺动脉窗淋巴结、血管前气管后淋巴结、上段食管旁淋巴结、主动脉旁淋巴结等几种类型。结论:螺旋CT技术对胸段食管癌淋巴结转移病变进行诊断的准确率水平相对较高,可对癌灶向哪些淋巴结转移进行准确判断,临床价值显著,值得关注并推广。
[Abstract]:Objective: to evaluate the accuracy of spiral CT in diagnosis of lymph node metastasis of thoracic esophageal carcinoma. Materials and methods: Sixty-eight suspected cases of thoracic esophageal carcinoma with lymph node metastasis were selected from January 2014 to June 2016 in our hospital. The patients were examined with spiral CT before operation and pathology after operation. The coincidence rate between preoperative CT findings and postoperative pathological findings was evaluated. Results: among the 68 cases, 65 cases had different degree of lymph node metastasis of thoracic esophageal carcinoma, and pathological examination proved that the above examination results were completely accurate and the diagnostic accuracy was 95.66.Results: all of the 68 cases were confirmed by spiral CT, and 65 of them had different degrees of lymph node metastasis in thoracic esophageal carcinoma. The lymph nodes of cancer focus metastasis included: paratracheal lymph nodes, mediastinal lymph nodes, main pulmonary artery window lymph nodes, anterior and posterior tracheal lymph nodes, upper esophageal lymph nodes, para-aortic lymph nodes, and so on. Conclusion: the accuracy of spiral CT in the diagnosis of lymph node metastasis of thoracic esophageal carcinoma is relatively high. It can accurately judge which lymph node metastases are located in thoracic esophageal carcinoma, and the clinical value is significant, which is worthy of attention and popularization.
【作者单位】：海安县肿瘤医院影像科;
【分类号】：R735.1;R730.44

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