对早期食管癌放射诊断价值的再评价(附302例食管双对比造影与手术病理对照)  

Re-evaluation of Radiologic Diagnosis for Early Esophageal Cancer(A Report of 325 Cases)

作　　者：贺建元 王立义 蒋烈夫 李云生 张荣斌 贺舜尧 贺伟黎 

机构地区：[1]南阳医专肿瘤放射诊断研究所,河南474284 [2]南阳医专附院肿瘤外科 [3]南阳医专放射科 [4]南阳市胸科医院胸外科 [5]南阳市胸科医院影像科

出　　处：《放射学实践》2009年第6期614-618,共5页Radiologic Practice

摘　　要：目的:重新评价早期食管癌(EEC)放射诊断的价值。方法:回顾性分析302例食管双对比造影(DCE)照片,同内镜、手术病理资料对照。结果:EEC在DCE表现有8个新征象能客观反映EEC基本病理特点。同电子纤维胃镜(EGF)直接观察到的形态学改变相一致。结论:DCE诊断能基本上完成EEC定性、定位、定量、定型、定期五定诊断任务。能如传统放射学诊断进展期食管癌一样,为手术治疗提供可靠的依据,是放射学对EEC诊断价值的飞跃性提高。Objective：To re evaluate the value of radiologic diagnosis for early esophageal cancer （EEC）. Methods：Radiographic findings of double contrast examination of esophagus （DCE） in 302 cases of EEC proven pathologically and surgically were retrospectively analyzed in comparison with electric gastric fiber （EGF）. Results： Eight new signs on DCE on 302 cases of EEC could objectively reflect the pathological features,which were in accordance with the morphological changes directly observed by EGF. Conelusion：Radiologic DCE in the diagnosis of EEC has important values in determining the position, nature, type, quantity and the staging.

关 键 词：食管肿瘤 双对比造影 放射摄影术 诊断 

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