食管癌的CT检查在诊疗中的应用价值

Application of CT examining in the diagnosis and treatment of cancer of the esophagus

目的 探讨食管癌的CT检查在诊断及治疗中的应用价值。材料与方法 收集我院 1995年 10月至 1999年10月 96例食管癌CT检查病人 ,其中 4 2例行增强扫描显示 :纵隔淋巴结增大和周围脏器紧密相连使脂肪间隙消失 ,扫描部位包括锁骨上及全纵隔。结果 96例中锁骨上淋巴结转移 2 4例 ;纵隔淋巴结转移 3 1例 ,2 4例肿块侵犯降主动脉、肺动脉、左右支气管及心包 ,其中手术证实 10例 ,因侵犯以上主要脏器而只能做探查。结论 食管癌的CT检查 ,不仅是胃肠钡餐造影检查的重要补充手段 ,而且对肿瘤周围组织器官有较高的诊断价值 ;在确定肿瘤位置和长度方面也优于X线钡餐检查 ;对确定临床治疗方案可提供重要的依据。

Purpose Research for the value of CT diagnosis and treatment for cancer of the esophagus.Materials and methodsCollect 96 cases of cancer of the esophagus accepted CT plain scanning in our hospital from October 1995 to October 1999.42 cases of them are accepted with strengthen scanning method who show mediastinal lymth enlargement and organs are so clinging that no fat space presence.The scanning region are included supraclavicular and all the mediastinum.Results 24 cases of the total 96 cases are supraclavicular lymth cancer metastases.31 cases are mediastinal cancer metastases.24 cases have been intruded by tumor in their aorta descendens,pulmonary artery,bronchi and pericardium.Conclusion CT examining for esophagus cancer is not only the important replacement method to the barium enema examine but also have a high value to diagnosis tumor intruing the peripheral tissue and apparatus.It is better than X-ray method for the settlement of tumor's region and length.It may afford a important depending for the clinical treatment plan.