CT与X线检查在食管癌诊断临床价值比较

目的探讨CT与X线检查在食管癌诊断中的价值。方法回顾性分析2008年1月至2009年12月泸州市人民医院诊治的临床资料完整的80例食管癌患者X线钡餐和CT检查结果。结果X线钡餐检查诊断食管癌48例;检查符合率56.25%(45/80),诊断Ⅰ期1例,Ⅱ期16例,Ⅲ期20例,Ⅳ期8例,主要表现为食管黏膜破坏、中断、管壁僵硬、充盈缺损、狭窄;CT检查发现食管癌68例,诊断符合率85.00%(68/80):诊断Ⅰ期2例,Ⅱ期16例,Ⅲ期22例,Ⅳ期8例,表现为不同程度的管壁局限增厚,外侵为肿瘤与临近器官的脂肪间隙模糊或消失,3例左主支气管受压变形移位,肺部转移2例及肝脏转移3例。结论X线钡餐是食管最常用的检查方法,CT在食管癌诊断肯定,二者各有优势,同时其局限性也很明显,应联合X线钡餐造影加CT检查,可以为临床的治疗尤其是外科治疗提供相当可靠的依据,应作为术前常规检查。

The Comparison of Clinical Diagnosis Value about Esophageal Cancer with CT and X-ray

Objective To explore the CT and X-ray examination in the diagnosis of esophageal cancer. Methods Retrospective analysis in January 2008-December 2009 in people＇ s hospital of Luzhou the clinical data of diagnosis and treatment of 80 cases of esophageal cancer patients with a complete X-my barium meal and CT inspection results. Results X-ray barium meal examination diagnosed 48 cases of esophageal cancer; checks in line with the rate of 56.25% （45/80）, diagnosis of stage Ⅰ1 case, Ⅱ period of 16 cases, Ⅲ period of 20 cases, Ⅳ period of 8 cases, mainly for the esophageal mucosal damage, interruption, wall stiffness, filling defect, narrow; CT examination revealed 68 cases of esophageal cancer, diagnosis, in line with the rate of 85.00% （68/80）： 2 cases diagnosed in stage Ⅰ, Ⅱ period of 16 cases, Ⅲ period of 22 cases, Ⅳ stage 8 cases. The performance limitations for different degrees of wall thickening, foreign invasion of the tumor and adjacent organs, the fat clearance vague or disappear, three cases of left main bronchus compression deformation displacement, two cases of pulmonary metastasis and liver metastasis in 3 cases. Conclusions X-ray barium meal examination is the most commonly used method of esophagus, CT in the diagnosis of esophageal carcinoma sure, both have their advantages, while its limitations are evident, should the joint X-ray barium meal plus CT examination, particularly for the treatment of clinical surgical therapy is a fairly reliable basis, should serve as a preoperative routine examination.