食管癌X线钡餐造影与CT检查的对比分析

目的探讨食管癌X线钡餐造影与CT检查的诊断价值。方法回顾性分析58例食管癌的X线钡餐造影与CT检查结果。结果10例早期食管癌的X线表现为：局限性粘膜中断破坏，小的龛影和充盈缺损，局限性腔壁线毛糙和管壁僵硬；48例中晚期食管癌的X线表现为：明显的粘膜紊乱、中断及破坏，不规则的充盈缺损和龛影，管腔狭窄，管壁僵硬，扩张受限，钡剂通过受阻，纵隔内软组织肿块影。10例早期食管癌CT检查仅发现6例，表现为局限性的管壁增厚；48例中晚期食管癌的CT表现为：管壁增厚，管腔狭窄或闭塞，软组织肿块，周围组织器官侵犯，淋巴结和肝肺等远处转移。结论食管癌首选食管钡餐检查，对于早期食管癌的检出率X线钡餐造影优于CT检查。CT除可显示食管癌病变本身外，还可显示周围组织器官侵犯及淋巴、远处转移情况，可为临床确定治疗方案提供可靠依据。

Comparative Study between the Features of X-ray Barium Meal and CT in Esophageal Carcinoma

Objective To explore the characteristics of X-ray barium meal and CT in esophageal carcinoma. Methods The X-ray and CT features of 58 cases with esophageal carcinoma were analyzed retrospectively. Results The X-ray findings of 10 cases with early esophageal carcinoma were local mucous membrane interruption or break, little niche and filling defect, local roughness and stiffness of esophageal wall. The findings of 48 cases with middle or advanced esophageal carcinoma were marked mucous membrane interruption or break, abnormal filling defect and niche, antrum stricture, esophageal wall stiffness, limitation of dilatancy, barium blocking, soft tissue masses in the mediastinum. Only 6 cases were diagnosed with early esophageal carcinoma though CT examination. The CT features of these cases were local thickened esophageal wall. The CT findings of 48 cases with middle or advanced esophageal carcinoma were thickened esophageal wall, antrum stricture or obliteration, soft metastasis of lymph nodes, liver or lung. Conclusion tissue masses, adjacent tissue and organ invasion, X-ray barium meal examination is the first effective means in the detection of esophageal carcinoma, which is better than CT examination in detecting early esophageal carcinoma. CT examination can find not only the lesion but also adjacent tissue and organ invasion and metastasis of lymph nodes, liver or lung, which plays an important role of treatment in clinical practice.