食管癌的CT分期及可切除性的评价  

Esophageal Carcinoma:CT Staging and Evalualion of Resectability

作　　者：周海军[1] 郑海军[1] 陈华平[1] 黄忠雄[1] 

机构地区：[1]湖南省郴州市第一人民医院放射科,湖南郴州423000

出　　处：《实用放射学杂志》2005年第12期1289-1291,共3页Journal of Practical Radiology

摘　　要：目的评价食管癌的CT分期及肿瘤的可切除性。方法对42例食管癌患者均实施了食管钡餐造影、食管镜检查及CT扫描,重点分析其CT表现。结果全部42例CT扫描检查均显示出食管癌的准确部位、厚度、实际长度、外侵范围及其与邻近结构的关系。按Moss和Reining分期标准共分4期:Ⅰ期0例,Ⅱ期33例,Ⅲ期6例,Ⅳ期3例。其中,手术切除34例,手术探查3例,未手术5例。结论食管癌术前CT检查具有重要的临床意义,对分期和判断手术切除可能性提供重要的依据。Objective To evaluate CT staging and resectability of esophageal carcinoma. Methods The esophageal barium examination, esophagoscopy and CT scan were performed in 42 cases with esophageal carcinoma. CT findings were put the stress on analyzed. Results CT clearly demonstrated the location, thickness, actual length and extent of esophageal carcinoma as well as its relation with surrounding structures in all 42 cases. According to staging standard of Moss and Reining there were four stages, I stage 0 case, Ⅱ stage 33 cases, Ⅲ stage 6 cases, Ⅳ stage 3 cases. In all cases,operations were in 34 cases,detecting were in 3 cases,no -operations were in 5 cases. Conclusion CT imaging playes an important role in preoperative diagnosis,staging and the evaluation of resectability of esophageal carcinoma.

关 键 词：食管癌 分期 体层摄影术 X线计算机 

分 类 号：R735.1[医药卫生—肿瘤] R814.42[医药卫生—临床医学]