中华放射肿瘤学杂志
中華放射腫瘤學雜誌
중화방사종류학잡지
CHINESE JOURNAL OF RADIATION ONCOLOGY
2008年
2期
90-92
,共3页
陈俊强%潘建基%陈明强%陈韵彬%朱坤寿%郑雄伟%李伟宁%吴君心%陈文娟%邱素芳%肖锦榕
陳俊彊%潘建基%陳明彊%陳韻彬%硃坤壽%鄭雄偉%李偉寧%吳君心%陳文娟%邱素芳%肖錦榕
진준강%반건기%진명강%진운빈%주곤수%정웅위%리위저%오군심%진문연%구소방%초금용
食管肿瘤%外科学%病理学%体层摄影术,X线计算机%食管钡餐
食管腫瘤%外科學%病理學%體層攝影術,X線計算機%食管鋇餐
식관종류%외과학%병이학%체층섭영술,X선계산궤%식관패찬
Esophageal neoplasm%Surgery%Pathology%Tomography,X-ray computed%Esophagram
目的 通过CT诊断胸段食管癌病变长度与其他检测方法、相关因素分析的比较,了解CT测量食管病变长度的准确性,为精确勾画食管癌放疗靶区提供理论依据.方法 随机抽取术前未行放疗或化疗、不含其他癌成分、无多原发胸段食管鳞癌、首程治疗(颈、胸、腹3个野根治术)的患者598例,对CT诊断食管癌病变长度和其他检测方法进行对比研究.结果 手术标本、固定后标本、X线钡餐、CT显示的病变长度分别为(5.22±1.94)、(4.28±1.71)、(5.12±1.92)、(6.71±2.52)cm,手术标本与固定后标本和CT病变长度比较差异有统计学意义(t=16.01,P＜0.01;t=-15.54,P＜0.01),手术标本与x线钡餐病变长度比较差异无统计学意义(t=1.62,P＞0.05),病变长度从大到小顺序依次为CT、手术标本或X线钡餐、固定后标本.不同临床病理学分型、不同T分期手术标本与X线钡餐病变长度比较差异均无统计学意义(P＞0.05),而它们与CT病变长度比较腔内型差异无统计学意义(P＞0.05),余差异均有统计学意义(P＜0.05).结论 应用CT测量食管病变长度较手术实际长度长,X线钡餐稍偏短,固定后食管病变有一定程度回缩.建议在应用CT勾画食管癌肿瘤靶区长度时,应综合参考X线钡餐等其他检查.
目的 通過CT診斷胸段食管癌病變長度與其他檢測方法、相關因素分析的比較,瞭解CT測量食管病變長度的準確性,為精確勾畫食管癌放療靶區提供理論依據.方法 隨機抽取術前未行放療或化療、不含其他癌成分、無多原髮胸段食管鱗癌、首程治療(頸、胸、腹3箇野根治術)的患者598例,對CT診斷食管癌病變長度和其他檢測方法進行對比研究.結果 手術標本、固定後標本、X線鋇餐、CT顯示的病變長度分彆為(5.22±1.94)、(4.28±1.71)、(5.12±1.92)、(6.71±2.52)cm,手術標本與固定後標本和CT病變長度比較差異有統計學意義(t=16.01,P＜0.01;t=-15.54,P＜0.01),手術標本與x線鋇餐病變長度比較差異無統計學意義(t=1.62,P＞0.05),病變長度從大到小順序依次為CT、手術標本或X線鋇餐、固定後標本.不同臨床病理學分型、不同T分期手術標本與X線鋇餐病變長度比較差異均無統計學意義(P＞0.05),而它們與CT病變長度比較腔內型差異無統計學意義(P＞0.05),餘差異均有統計學意義(P＜0.05).結論 應用CT測量食管病變長度較手術實際長度長,X線鋇餐稍偏短,固定後食管病變有一定程度迴縮.建議在應用CT勾畫食管癌腫瘤靶區長度時,應綜閤參攷X線鋇餐等其他檢查.
목적 통과CT진단흉단식관암병변장도여기타검측방법、상관인소분석적비교,료해CT측량식관병변장도적준학성,위정학구화식관암방료파구제공이론의거.방법 수궤추취술전미행방료혹화료、불함기타암성분、무다원발흉단식관린암、수정치료(경、흉、복3개야근치술)적환자598례,대CT진단식관암병변장도화기타검측방법진행대비연구.결과 수술표본、고정후표본、X선패찬、CT현시적병변장도분별위(5.22±1.94)、(4.28±1.71)、(5.12±1.92)、(6.71±2.52)cm,수술표본여고정후표본화CT병변장도비교차이유통계학의의(t=16.01,P＜0.01;t=-15.54,P＜0.01),수술표본여x선패찬병변장도비교차이무통계학의의(t=1.62,P＞0.05),병변장도종대도소순서의차위CT、수술표본혹X선패찬、고정후표본.불동림상병이학분형、불동T분기수술표본여X선패찬병변장도비교차이균무통계학의의(P＞0.05),이타문여CT병변장도비교강내형차이무통계학의의(P＞0.05),여차이균유통계학의의(P＜0.05).결론 응용CT측량식관병변장도교수술실제장도장,X선패찬초편단,고정후식관병변유일정정도회축.건의재응용CT구화식관암종류파구장도시,응종합삼고X선패찬등기타검사.
Objective To compare the accuracy of CT with other methods to measure the length of thoracic esophageal carcinoma. Methods 598 patients with thoracic esophageal squamous carcinoma were enrolled in this study.All the patients received three-field(cervical,thoracic:and abdominal)radical surgery without pre-operative radiotherapy or chemotherapy.The length of each Iesion was recorded and compared by measuring intraoperative specimen,formalin-fixed specimen,X-ray barium meal examination and CT,respectivelv. Results By the measurement of intraoperative specimen,formalin-fixed specimen,Xray barium meal examination and CT,the mean lengths of lesion were(5.22±1.94),(4.28±1.71),(5.12±1.92)and(6.71±2.52) cm,respectively.The measured length was significantly different between intraoperative specimen and formalin-fixed specimen or CT(t=16.01,P＜0.01;t=-15.54,P＜0.01),but not between intraoperative specimen and X-ray barium meal examination(t=1.62,P＞0.05).The measured lengths gradually decreased in the order of CT,intraoperative specimen,X-ray bailam meal examination and formalin-fixed specimen.For different pathological type(except intracavitary type)and different T staging,there was significant difference in lesion length between intraoperative specimen and CT(P＜0.05),but not between intraoperative specimen and X-ray barium meal examination(P＞0.05). Conclusions The length of esophageal carcinoma measured by intraoperative specimen is shorter than by CT,but longer than by X-ray barium meal examination.Specimen could shrink after foriBalin fixation.X-ray barium meal and other examinations should be referred when using CT to delineate tumor target volume of esophageal carcinoma for radiotherapy.
