多层螺旋CT增强扫描在胸中段食管癌患者术前分期及手术入路选择中的应用价值观察

The Value of Multi-slice Spiral CT Enhanced Scanning in Preoperative Staging and Operative Approach Selection of Patients with Middle Thoracic Esophageal Cancer

目的观察多层螺旋CT(MSCT)增强扫描在胸中段食管癌患者术前分期及手术入路选择中的应用价值。方法回顾性分析2016年7月至2019年7月本院收治的并经病理学证实的180例胸中段食管癌患者的临床资料,均经MSCT增强扫描,与病理结果进行对照。结果MSCT增强扫描诊断T分期准确率为85.00%,诊断N分期准确率为83.33%,MSCT增强扫描在胸中段食管癌患者术前分期中的诊断准确率为90.27%,灵敏度为91.43%,特异度为89.19%。诊断M分期准确率为92.78%。MSCT增强扫描诊断处远处转移病灶的准确率为72.73%。结论MSCT增强扫描在胸中段食管癌患者术前分期及手术入路选择中具有较高的应用价值,可为临床诊治提供依据。

Objective To observe the application value of MSCT enhanced scan in preoperative staging and surgical approach selection of patients with middle thoracic esophageal cancer.Methods The clinical data of 180 patients with middle thoracic esophageal cancer admitted to our hospital from July 2016 to July 2019 and confirmed by pathology were analyzed retrospectively.All of them were scanned by MSCT and compared with the pathological results.Results The accuracy of MSCT was 85.00%and 83.33%,respectively.The accuracy of MSCT was 90.27%,the sensitivity was 91.43%,and the specificity was 89.19%.The accuracy of M staging was 92.78%.The accuracy of MSCT in the diagnosis of distant metastasis was 72.73%.Conclusion MSCT enhanced scanning has a high value in preoperative staging and surgical approach selection of patients with mid-thoracic esophageal cancer,which can provide a basis for clinical diagnosis and treatment.