经腹超声在诊断腹段食管癌中的价值  

Clinical Application of Ultrasonography in Diagnosing Abdominal Esophageal Carcinoma

作　　者：盛宏伟[1] 肖际东[2] 陈志恒[1] 

机构地区：[1]中南大学湘雅三医院健康管理中心,湖南长沙410013 [2]中南大学湘雅三医院超声科,湖南长沙410013

出　　处：《湖南师范大学学报（医学版）》2009年第2期24-26,共3页Journal of Hunan Normal University(Medical Sciences)

摘　　要：目的:探讨经腹超声对腹段食管癌诊断价值。方法:对临床137例食管癌可疑患者及正常组54例经腹超声检查,分析食管腹段食管结构形态变化的超声声像图表现,并与胃镜和病检结果进行对照。结果:对临床137例食管癌可疑患者及正常组54例经腹超声检查,分析食管腹段食管结构形态变化的超声声像图表现,并与胃镜和病检结果进行对照。结论:经腹超声可根据食管壁厚度及声像改变对食管癌做出诊断,对临床食管癌可疑患者行经腹超声检查,具有重要的临床应用价值。Objective To assess the value of ultrasonography in the diagnosis of abdominal esophageal carcinoma.Methods 137 patients esophageal carcinoma suspected and 54 healthy subjects were examined by ultrasonography.Analysis abdominal esophagus sonographic features and compared with operation pathology results and gastroscopy.Results The thickness of the wall varied to be(4.10±0.44)mm、(5.90±0.51)mm、(12.60± 3.70)mm,respectively in cases of normal,benign groups and esophageal carcinoma groups.The esophageal wall was significantly thicker in patients with esophageal carcinoma than that in normal,benign groups(P <0.05).esophageal wall discontinuity or partial severances and lumen morphologic changes were detected.When the cut off value was set at 12mm,the ultrasonic diagnostic accuracy for abdominal esophagus carcinoma were 71.9%(41/57).Conclusion Wall thickness and wall echo abnormality,and lumen morphologic changes were referred as the criteria of ultrasonography in diagnosis of abdominal esophageal carcinoma.it is valuable in the clinical application to detect esophageal carcinoma suspected by abdominal ultrasonography.

关 键 词：食管癌 经腹超声 诊断 

分 类 号：R735.1[医药卫生—肿瘤]