食管癌X线钡餐造影与CT检查的对比研究

Comparative study between X～ray signs and CT findings of the esophageal carcinoma

目的提高影像技术对诊断食管癌重要性的认识。方法回顾性分析经手术、病理证实食管癌34例,全部病例均有X线钡餐造影与CT检查。结果34例食管癌主要X线表现为管壁僵硬、充盈缺损、龛影及黏膜中断、破坏。主要CT表现为管壁增厚、软组织肿块、周围组织器官受累及淋巴结转移。结论X线钡餐检查是诊断食管癌的首选方法,CT检查对食管癌的分期有重要意义。

Objective To assess the significance of imaging techniques for detecting the esophageal carcinoma.Methods Thirty four patients with surgically and pathologically proved esophageal carcinoma underwent upper gastrointestinal barium meal examination and CT scanning.Results Among all patients, X-ray signs included esophageal wall stiffness,filling defect,niche,mucous membrane interruption or break while the major CT features were thickened wall,soft tissue masses,surrounding structure involvement and lymphous node metastasis.Conclusion Barium meal examination is the most effective means in the detection of esophageal carcimoma while CT scans have important significance in the preoperative staging of esophageal carcinoma.