数字化钡剂造影与胃镜检查在早期食管癌诊断中的应用价值比较  

Digital barium meal radiography vs gastroscopy for diagnosis of early esophageal cancer

作　　者：解海青[1] 

机构地区：[1]青海大学附属医院放射科,青海省西宁市810001

出　　处：《世界华人消化杂志》2015年第14期2264-2267,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨比较数字化钡剂造影与胃镜检查在早期食管癌诊断中的应用价值.方法:选取2014-01/2014-12于青海大学附属医院放射科就诊的以胸骨后不适、吞咽梗阻感为主要临床表现的123例患者作为研究对象,均行数字化钡剂造影与胃镜检查,总结早期食管癌患者两种检查的检查征象,并与病理结果进行比较.结果:123例患者中,经病理检查确诊为早期食管癌者80例.进行一致性分析显示,数字化钡剂造影检查、胃镜检查与病理检查结果一致性均为良(Kappa=0.622、0.688,均P<0.05).数字化钡剂造影检查早期食管癌的灵敏度和特异度分别为93.8%和65.1%,胃镜检查的分别为92.5%和74.4%,两组间灵敏度和特异度比较差异均无统计学意义(均P>0.05).结论:数字化钡剂造影与胃镜检查在早期食管癌诊断中均具有良好的应用价值,与病理结果一致性良,诊断灵敏度高,临床上应根据实际情况选择合适的检查.AIM： To compare the application value between digital barium meal radiography and gastroscopy in diagnosing early esophageal cancer.METHODS： One hundred and twenty-three patients with main complaints of retrosternal discomfort and obstruction feeling while swallowing who visited our hospital from January 2014 to December 2014 were included.All those cases underwent digital barium mealradiography and gastroscopy. Then, features of the two examinations were summarized and the results were compared with histopathological biopsy results.RESULTS： Of the 123 cases, 80 were diagnosed with early esophageal cancer by histopathological biopsy. Both digital barium meal radiography and gastroscopy had good consistency with histopathological biopsy results（Kappa = 0.622,0.688, P〈0.05 for both）. The sensitivity and specificity of digital barium meal radiography in diagnosing early esophageal cancer were93.8% and 65.1%, which were comparable to those of gastroscopy（92.5% and 74.4%,respectively; P〉0.05 for both）.CONCLUSION： Both digital barium meal radiography and gastroscopy have good application value in diagnosing early esophageal cancer, which have good consistency with histopathological biopsy results and a high sensitivity. Clinically, appropriate examination should be selected according to patients＇ actual conditions.

关 键 词：数字化钡剂造影 胃镜 早期食管癌 诊断 

分 类 号：R735.1[医药卫生—肿瘤]