食管癌与胃癌切除术后CT评价

CT Evaluation on Patients after Operative: Resection of Esophageal and Gastric Carcinomas

作者对44例食管癌及胃癌术后CT资料进行了总结,并以钡餐、胃镜、手术或随访作对照,结果发现:食管胃弓上或弓下吻合时CT较易显示吻合口,正常时吻合口区管壁均匀光滑,边界清,也可为分界清楚之假性包块;吻合口复发癌的CT表现为吻合口区包块并向周围侵犯或管壁增厚向腔内及壁外突出;钡餐对于吻合口的评价仍是较好的方法,而CT对于发现局部侵犯、淋巴结增大、远处转移及脓肿等均有重要价值。

The CT data from 44 patients after revision of the esophageal and gastric carcinornas were analyzed and contrasted this data were compared with those of the barium meal examination, gastroscopy, re-operation and follow-up, etc. The results showed as follows: In the supra-or infraaortic esophagogastric anastomosis, the anastomotic stoma is more easily demonstrated, and its normal CT appearance showed a smooth and even canal wall with clear demarcation or well-defined pseudomass in the anastomotic area. CT manifastation of recurrent carcinoma at the auastomostie stoma was a mass with invasion to the surrending structures or thickened tract wall nodular protruding internally or externally. Authors stressed that barium meal examination was still a better method in evaluating the anastomotic stoma, and CT scan was of significance in disclosing the local invation. lymphonode enlargement, metastasis, abscess, etc.