肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2014年
3期
169-171
,共3页
食管肿瘤%淋巴转移%肿瘤分期%计算机断层扫描
食管腫瘤%淋巴轉移%腫瘤分期%計算機斷層掃描
식관종류%림파전이%종류분기%계산궤단층소묘
Esophageal neoplasms%Lymphatic metastasis%Neoplasm staging%Computed tomography
目的 探讨CT诊断在食管癌术前淋巴结转移临床分期中的意义.方法 对103例已手术食管癌患者临床资料进行回顾性分析,所有患者术前均接受双源CT检查,根据淋巴结是否肿大得出术前的淋巴结分期,再与术后的病理分期进行对照分析.结果 术前CT中淋巴结肿大患者29例(28.2％),术后病理证实有淋巴结转移患者70例(68.0％).CT诊断与术后病理两种淋巴结分期诊断的阳性率结果不一致(x2=11.719,P=0.001).CT诊断为淋巴结转移阳性患者比阴性患者术后病理分期晚(Z=-3.04,P=0.002),但两种诊断方法之间不存在相关性(x2=10.885,r=0.055,P=0.055).结论 术前通过CT判断淋巴结转移的临床分期准确率不高,建议联合PET-CT、超声内窥镜等检查得到更准确的临床分期.
目的 探討CT診斷在食管癌術前淋巴結轉移臨床分期中的意義.方法 對103例已手術食管癌患者臨床資料進行迴顧性分析,所有患者術前均接受雙源CT檢查,根據淋巴結是否腫大得齣術前的淋巴結分期,再與術後的病理分期進行對照分析.結果 術前CT中淋巴結腫大患者29例(28.2％),術後病理證實有淋巴結轉移患者70例(68.0％).CT診斷與術後病理兩種淋巴結分期診斷的暘性率結果不一緻(x2=11.719,P=0.001).CT診斷為淋巴結轉移暘性患者比陰性患者術後病理分期晚(Z=-3.04,P=0.002),但兩種診斷方法之間不存在相關性(x2=10.885,r=0.055,P=0.055).結論 術前通過CT判斷淋巴結轉移的臨床分期準確率不高,建議聯閤PET-CT、超聲內窺鏡等檢查得到更準確的臨床分期.
목적 탐토CT진단재식관암술전림파결전이림상분기중적의의.방법 대103례이수술식관암환자림상자료진행회고성분석,소유환자술전균접수쌍원CT검사,근거림파결시부종대득출술전적림파결분기,재여술후적병리분기진행대조분석.결과 술전CT중림파결종대환자29례(28.2％),술후병리증실유림파결전이환자70례(68.0％).CT진단여술후병리량충림파결분기진단적양성솔결과불일치(x2=11.719,P=0.001).CT진단위림파결전이양성환자비음성환자술후병리분기만(Z=-3.04,P=0.002),단량충진단방법지간불존재상관성(x2=10.885,r=0.055,P=0.055).결론 술전통과CT판단림파결전이적림상분기준학솔불고,건의연합PET-CT、초성내규경등검사득도경준학적림상분기.
Objective To assess the rationality of using CT for clinical staging in esophageal carcinoma.Methods 103 esophageal carcinoma patients with radical resection were selected,patients were examined by CT before surgery.To compare the clinical staging on the basis of CT findings with pathology.Results Lymph node enlargement were mentioned in 29 cases (28.2 ％) with CT findings before surgery,but 70 cases (68.0 ％) by pathology.The CT findings and pathology were inconsistent (x2 =11.719,P =0.001).Although the pathology staging in the cases which were positive with CT findings could be later (Z =-3.04,P =0.002),there was no correlation between the two methods (x2 =10.885,r =0.055,P =0.055).Conclusion The accuracy rate in esophageal carcinoma clinical staging by CT before surgery is low.Combining with PET-CT or endoscopic ultrasonography may improve the accuracy rate.
