食管钡餐造影联合CT对食管癌近期疗效的评估价值

Evaluation value of esophageal barium radiography combined CT in the shortterm efficacy of esophageal cancer

目的探讨食管钡餐造影联合CT对食管癌近期疗效的评估价值。方法收集100例食管癌患者的临床资料,所有患者均接受放疗,并在放疗前后采用食管钡餐造影与CT对其进行检查,同时分析放疗后CT扫描结果与疗效的关系。结果食管钡餐造影结果显示,100例患者的总缓解率为88.00%(88/100)。放疗后食管癌患者的淋巴结短径、淋巴结长径及淋巴结体积均明显小于放疗前,差异均有统计学意义(P﹤0.01)。淋巴结短径≤0.94 cm、淋巴结长径≤1.65 cm、淋巴结体积≤2.95 cm^(3)患者的总缓解率分别高于淋巴结短径﹥0.94 cm、淋巴结长径﹥1.65 cm、淋巴结体积﹥2.95 cm^(3)患者,差异均有统计学意义(P﹤0.05)。结论在放疗后采用食管钡餐造影联合CT对食管癌患者进行检查,可及时明确食管癌近期疗效与淋巴结短径、淋巴结长径及淋巴结体积之间的关系,临床应用价值较高。

Objective To explore the evaluation value of esophageal barium radiography combined CT in the shortterm efficacy of esophageal cancer.Method The clinical data of 100 patients with esophageal cancer were collected.All patients received radiotherapy,and were examined by esophageal barium radiography and CT before and after radiotherapy.The relationship of CT results with the efficacy of radiotherapy was analyzed.Result The results of esophageal barium radiography showed that the total response rate of 100 patients was 88.00%(88/100).The short diameter,long diameter and volume of lymph nodes in patients with esophageal cancer after radiotherapy were significantly smaller than those before radiotherapy(P<0.01).The total response rates of patients with lymph node short diameter≤0.94 cm,lymph node long diameter≤1.65 cm and lymph node volume≤2.95 cm^(3) were higher than those of patients with lymph node short diameter>0.94 cm,lymph node long diameter>1.65 cm and lymph node volume>2.95 cm^(3),respectively(P<0.05).Conclusion The use of esophageal barium radiography combined CT to examine patients with esophageal cancer after radiotherapy can clarify the relationship of the short-term efficacy of esophageal cancer with the short diameter,long diameter and the volume of the lymph node with higher clinical application value.