食管癌术前 CT 检查对癌肿切除的预测作用分析  

Analysis of The Role of Preoperative CT Examination of Esophageal Carcinoma in Forecasting Resectability of Tumor

作　　者：杨建新[1] 罗晓东[1] 徐仁根[1] 匡裕康[1] 习永生[1] 

机构地区：[1]江西省肿瘤医院

出　　处：《实用癌症杂志》1997年第2期139-141,共3页The Practical Journal of Cancer

摘　　要：作者对６８例食管癌病人的术前ＣＴ检查结果进行分析，并与手术及病理结果对比，以探讨ＣＴ检查对食管癌切除的预测作用。结果表明：ＣＴ判断主动脉和气管、支气管受累的准确性分别为９５．６％、９８．５％；癌肿切除预测的敏感性、特异性、准确性分别为９２．７％、９４．４％、９４．１％。ＣＴ检查对临床选择治疗方案有较高的应用价值，但癌肿能否切除取决于手术方式和技术水平。作者建议，依据病变食管与邻近主动脉和椎体之间三角形脂肪间隙消失来判断主动脉受累，有利于提高预测癌肿切除的准确性。The preoperative CT findings of 68 cases of esophageal carcinoma were analyzed and compared with operation and pathology to seek the role of CT examination in forecasting resectability of esophageal carcinoma. The results demonstrated that the accuracy of aorta, trachcobronchus invasion judgcd by CT were 95.6% and 98.5% respsctively. The sensibility, specificity and accuracy for forecaxting resectability were 92.7%,94.4% and 94.1%, respectively. It have high practical value for clinic selection of treatment plan. But resectability of tumor finally depends on operative manner and skill of operator. The authors suggested that with the disappearance of triangular fat space amid sick esophagus adjacent aorta and vertebral body to judge involvement of aorta is benificial to increaseing the accuracy for forecasting tumor resectability.

关 键 词：外科手术 食管肿瘤 CT 

分 类 号：R735.104[医药卫生—肿瘤] R730.56[医药卫生—临床医学]