CT扫描用于食管癌淋巴结转移诊断的准确率分析及对预后的评估意义

The Accuracy of CT Scan in the Diagnosis of Lymph Node Metastasis of Esophageal Cancer and Its Significance to the Prognosis

目的:分析探讨CT扫描用于食管癌淋巴结转移诊断的准确率分析及对预后的临床价值。方法:随机选取2012年2月-2016年2月在我院行食管癌根治术患者150例,均采用CT及腹部彩超检测,分析比较各自的准确率、CT淋巴结转移数及CT三分区转移情况。结果:CT的总检出率(87.33%)远远高于彩超的总检出率(68.67%),组间差异具有统计学意义(P<0.05),CT扫描中胸上段准确率最高,而彩超中胸下段准确率最高;且CT转移数<2和CT三分区转移的患者术后生存率较高,差异有统计学意义(P<0.05)。结论:CT扫描对食管癌淋巴结转移诊断的准确率较高,CT转移数和CT三分区转移能够有效评估患者术后的生存情况,值得临床推广。

Objective： To evaluate the CT scan for diagnosis of lymph node metastasis in esophageal cancer accuracy analysis and on the prognosis of the clinical value. Methods： Randomly selected from February 2012 to February 2016 in our hospital underwent esophageal cancer radical surgery in patients with 150 cases, were treated with CT and abdominal ultrasound detection, analysis and comparison of the accuracy, CT lymph node transfer CT number and three partitions metastasis. Results： The CT detection rate（87.33%） is much higher than the color of the total detection rate（68.67%）, the difference between the two groups with statistical significance（P〈0.05）, CT scanning thoracic upper accurate rate was the highest, and color Doppler imaging in thoracic segment the accurate rate was the highest, and CT transfer number2 and CT three shifts the partitioning of patients survival rate is relatively high, the difference is statistically significant（P〈0.05）.Conclusion： CT scan of esophageal carcinoma with lymph node metastasis diagnosis accurate rate is higher, CT transfer number and CT three partitions transfer can effectively evaluate the postoperative survival, it is worth clinical promotion.