食管癌影像学分期及手术后病理分期对比研究  

THE STUDY OF CONTRAST BETWEEN RADIOLOGICAL STAGING AND PATHOLOGICAL STAGING OF ESOPHAGEAL CANCER

作　　者：杨军[1] 高荣[2] 乔鹏飞[1] 张建国[1] 陈书山[2] 高旭东[2] 

机构地区：[1]内蒙古医学院附属医院放射科,内蒙古呼和浩特010050 [2]内蒙古医学院附属医院胸外科,内蒙古呼和浩特010050

出　　处：《内蒙古医学院学报》2006年第5期449-453,共5页Acta Academiae Medicinae Neimongol

摘　　要：目的：探讨食管癌影像学分期与术后病理分期结果对比研究。方法：对2000—10—2002—01具有完整术前影像学检查结果及术后病理结果（TNM）的食管癌病例进行对比研究。结果：食管影像学检查可用于术前食管癌分期，影像T与病理T经Kappa检验两种分期无差异，有较好的一致性。影像N与病理N经差异性卡方检验，两种分期有差异性，一致性较差。结论：目前应用影像学检查技术可以较准确地评估食管癌术前分期，有较大的临床使用价值。但诊断淋巴结转移尚存在不足。寻找更有效的淋巴结转移诊断技术是提高食管癌木前分期准确性的关键。Objective： To study lhe contrast between radiological staging and pathological staging of esophageal cancer. Methods.. From Oct. 2000 to Jan. 2002, radiological ＂T＂ , ＂N＂ and ＂PTNM＂ classification was made based on X - ray radiography and CT information . Pathological ＂T＂, ＂N＂ and ＂PTNM＂ was also made after thoracic surgery. Results： Radiological technique is used to evaluate esophageal staging before surgery . The two of ＂T＂ staging were examined by Kappa test, which was proved to be the conformity of statistics. The two of ＂N＂ staging were analyzed by X 2 test , which had statistical significant difference. Conclusion：The general radiological diagnostic technique at present can accurately evaluate esophageal staging before surgery and has large clinical value. The lymph node metastasis was not well evaluated by image technique. To seek effective diagnostic technique for mediastinal lymph nodes is a key to a accurate PTNM staging for esophageal cancer .

关 键 词：食管癌 影像学检查方法 影像分期 病理分期 淋巴结转移 

分 类 号：R735.1[医药卫生—肿瘤]