赣南医学院学报
贛南醫學院學報
공남의학원학보
JOURNAL OF GANNAN MEDICAL COLLEGE
2014年
3期
404-406
,共3页
数字钡餐造影%食管癌%放射治疗%效果评估
數字鋇餐造影%食管癌%放射治療%效果評估
수자패찬조영%식관암%방사치료%효과평고
Digital barium meal imaging%different pathological types of esophagus carcinoma%radiotherapy%effect evalua-tion
目的：通过数字钡餐造影检查，探讨不同病理食管癌放疗前后的影像学变化，并分析数字钡餐造影在不同病理食管癌放疗后疗效评估中的作用。方法：收集我院采用单纯放疗方法治疗的食管癌50例，其中鳞癌45例，腺癌4例，鳞腺癌1例，全组患者放疗前后均行数字钡餐造影检查，对比分析其放疗前后的影像表现。结果：放疗后其 X 线影像学表现出现差异，如病变范围缩短，充盈缺损缩小甚至消失、黏膜皱襞恢复变规整、管腔狭窄程度改善、食管动力学等，其中鳞癌放疗前后的影像表现差异最大，病灶有明显改善，腺癌及鳞腺癌放疗前后的影像表现差异不明显。结论：不同病理食管癌放疗后效果有明显不同，其中鳞癌放疗效果显著，腺癌及鳞腺癌效果较差。研究表明数字钡餐造影对于帮助临床判定不同病理食管癌的放疗效果、及时了解有无并发症及初步估计预后有重要的临床意义。
目的：通過數字鋇餐造影檢查，探討不同病理食管癌放療前後的影像學變化，併分析數字鋇餐造影在不同病理食管癌放療後療效評估中的作用。方法：收集我院採用單純放療方法治療的食管癌50例，其中鱗癌45例，腺癌4例，鱗腺癌1例，全組患者放療前後均行數字鋇餐造影檢查，對比分析其放療前後的影像錶現。結果：放療後其 X 線影像學錶現齣現差異，如病變範圍縮短，充盈缺損縮小甚至消失、黏膜皺襞恢複變規整、管腔狹窄程度改善、食管動力學等，其中鱗癌放療前後的影像錶現差異最大，病竈有明顯改善，腺癌及鱗腺癌放療前後的影像錶現差異不明顯。結論：不同病理食管癌放療後效果有明顯不同，其中鱗癌放療效果顯著，腺癌及鱗腺癌效果較差。研究錶明數字鋇餐造影對于幫助臨床判定不同病理食管癌的放療效果、及時瞭解有無併髮癥及初步估計預後有重要的臨床意義。
목적：통과수자패찬조영검사，탐토불동병리식관암방료전후적영상학변화，병분석수자패찬조영재불동병리식관암방료후료효평고중적작용。방법：수집아원채용단순방료방법치료적식관암50례，기중린암45례，선암4례，린선암1례，전조환자방료전후균행수자패찬조영검사，대비분석기방료전후적영상표현。결과：방료후기 X 선영상학표현출현차이，여병변범위축단，충영결손축소심지소실、점막추벽회복변규정、관강협착정도개선、식관동역학등，기중린암방료전후적영상표현차이최대，병조유명현개선，선암급린선암방료전후적영상표현차이불명현。결론：불동병리식관암방료후효과유명현불동，기중린암방료효과현저，선암급린선암효과교차。연구표명수자패찬조영대우방조림상판정불동병리식관암적방료효과、급시료해유무병발증급초보고계예후유중요적림상의의。
Objectiye:To investigate the radiologic changes between pre-radiotherapy and post-radiotherapy of different pathological carcinoma of esophagus by digital barium meal imaging. Methods:50 cases with esophageal cancer were col-lected,including 45 cases with squamous cell carcinoma,4 cases with adenocarcinoma,1 with adeno squamous carcinoma. All patients took digital barium meal imaging. The imaging findings were compared and analyzed before and after therapy. Results:After radiotherapy,the imaging findings were different,the lesion shortened,filling defect reduced or even disap-peared,mucosal fold recovered,the degree of luminal stenosis improved and so on. The imaging differences of squamous cell carcinoma were most significant. The lesions were improved obviously. But the imaging differences of adenocarcinoma and adeno squamous carcinoma were not obviously. Conclusions:The effects after radiotherapy were different among dif-ferent pathological esophageal cancer. The cases with squamous cell carcinoma got significant effect after radiotherapy,but not for the cases with adenocarcinoma and adeno squamous carcinoma. The study shows digital barium meal imaging can help judge radiotherapy effects on different pathological types of esophagus carcinoma,know timely whether there are com-plications and preliminarily evaluate the prognosis.
