下段食管癌瘤体及周围毗邻组织三维重建在食管癌诊治中的应用研究  

Application of Different Influencing Factors in the Diagnosis and Treatment of Esophageal Carcinoma by Three-dimensional Reconstruction of the Lower Esophageal Carcinoma and Its Adjacent Tissue

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作  者:李伟 王瑞星 韩久付 LI Wei;WANG Ruixing;HAN Jiufu(China Construction Second Engineering Bureau Staff Hospital,Tangshan,06400)

机构地区:[1]中国建筑第二工程局职工医院,064000 [2]唐山市协和医院,064000

出  处:《实用癌症杂志》2018年第7期1115-1117,共3页The Practical Journal of Cancer

摘  要:目的研究不同影响因素对下段食管癌瘤体及周围毗邻组织三维重建在食管癌诊治中应用。方法选取食管癌患者42例,应用多平面重建技术对患者的瘤体和周围的毗邻组织进行三维重建,分析不同影响因素下三维重建结果间的差异情况。结果 42例患者中,胃镜能够通过的有27例,不能通过的有15例;27例内镜检测和病理检测患者其病变长度对比差异有统计学意义(P<0.05),所有患者在三维检测和病理检测其病变长度对比中差异有统计学意义(P<0.05);不同分期患者中T1期组在瘤体体积、三维厚度及长度方面与T2、T3期对比差异有统计学意义(P<0.05),T2和T3期组对比差异无统计学意义(P>0.05);阳性和阴性淋巴结三维的重建数据中,它们在CT的数值、长径、体积和短径方面均有差异(P<0.05)。结论三维重建比常规的消化道的造影能更好地确认食管癌患者病变的长度、位置和毗邻情况。Objective To study the effect of different influencing factors in the diagnosis and treatment of esophageal cancer by three-dimensional reconstruction of the lower esophageal carcinoma and adjacent tissue. Methods 42 patients with esophageal cancer were selected.Multi-planar reconstruction technique was used to perform three-dimensional reconstruction of the patient's tumor and its surrounding adjacent tissue.The differences between the three-dimensional reconstruction results under different influencing factors were analyzed. Results Of the 42 patients,27 were able to pass through gastroscopy,and 15 failed to pass.27 cases of endoscopic and pathological examinations had significant differences in the length of lesions ( P 〈0.05).All patients three dimensions.and pathological examinationgs had statistically significant difference in the length of the lesions ( P 〈 0.05 ).There was a statistically significant difference between the T1 phase group and the T2 and T3 phases in tumor volume,three-dimensional thickness,and length ( P 〈0.05),T2 and T3 groups had no statistically significant difference( P 〉0.05);the positive and negative nodes of the three-dimensional reconstruction data in which CT values of the long diameter,short diameter and volume terms were different ( P 〈0.05 ). Conclusion Three-dimensional reconstruction can better confirm the length,position,and adjacency of lesions in patients with esophageal cancer than conventional gastrointestinal angiography.

关 键 词:食管癌 三维重建 诊治应用 

分 类 号:R735.1[医药卫生—肿瘤]

 

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