不同检测方法测量食管癌病变长度的一致性分析  

The Conformance of the Tumor Length Measured by CT Scans and Esophagogram and Endoscopy for the Thoracic Esophageal Carcinoma

作　　者：王军[1] 张辛[1] 韩春[1] 祝淑钗[1] 肖爱勤[1] 麻国新[1] 王澜[1] 

机构地区：[1]河北医科大学第四医院放疗科,河北石家庄050011

出　　处：《肿瘤预防与治疗》2008年第1期59-61,共3页Journal of Cancer Control And Treatment

基　　金：河北省普通高等学校强势特色学科项目资助(冀教高[2005]52号)

摘　　要：目的:分析CT扫描、食管造影和内窥镜测量食管癌病变长度的差异及其一致程度。方法:应用CT扫描、食管造影和内窥镜等不同检查手段测量74例食管癌病变长度,以食管癌病理标本根据收缩比回推至人体内实际长度为标准进行比较,分析各检查方法测量食管癌病变长度的差异并进行一致性分析,探讨各诊断方法在判断食管癌病变长度方面的价值。结果:①食管癌病变长度从小到大依次为镜检长度、实体肿瘤长度、食管造影长度和CT扫描长度,其中镜检长度和造影长度与实体肿瘤长度较为接近。②CT扫描与食管造影对病变长度判断存在一致性(P=0.032),但一致性差(Kappa=0.152);CT扫描与内窥镜、食管造影与内窥镜对长度判断结果均不一致(P=0.914和P=0.456)。结论:三种检查方法测量食管癌病变长度存在一定差异,食管癌合理的病变长度要结合钡餐造影、内镜和CT等检查手段来综合判断。Objective： To evaluate the diversity and the concordance of the tumor length measured by CT scans, esophagogram and endoscopy for the esophageal carcinoma. Methods： Seventy-four cases of esophageal carcinoma were measured by CT scans, esophagogram and endoscopy respectively before the surgery, and the actual length of tumor were also calculated by the specimen shrinkage ratio after fixed 24h by formalin, to evaluated the diversity and the concordance of the tumor length measured by these different methods. Results： ①From short to long, the order of the measured tumor lengths was the endoscopy, tumor actual length, esaphagogram and CT scans. Tumor length measured by endoscopy and esophagogram got dose to actual tumor length.②Concordance of CT scans and esophagogram measured tumor lengths was poor（ P = 0. 032, Kappa = 0. 152） ; neither CT scans nor esophagogram methods were concordant to endoscopy in length of the tumor （ P = 0. 914 and P = 0. 456, respectively）. Conclusion： Our study proved that the diversity existed among the CT scans, esophagogram, endoscopy measured turmor lents and the tumor actual length. The tumor length of the esophageal carcinoma should be refer to the combination of the esophagogram endoscopy and CT scans results.

关 键 词：食管癌 CT扫描 食管造影 内窥镜 

分 类 号：R735.1[医药卫生—肿瘤] R730.44[医药卫生—临床医学]