术前支气管镜检查在食管癌手术中的临床应用价值  

The Clinical Value of Preoperative Bronchoscopy in Esophageal Cancer Surgery

作　　者：张强[1] 黄国忠[1] 陈豪[1] 许彬东[1] 胡玉雄 ZHANG Qiang;HUANG Guozhong;CHEN Hao;XU Bindong;HU Yuxiong(Department of Thoracic Surgery,The Affiliated Hospital of Puitan University,Putian Fujian 351100,China)

机构地区：[1]莆田学院附属医院胸心外科,福建莆田351100

出　　处：《莆田学院学报》2021年第2期19-21,共3页Journal of putian University

基　　金：莆田学院校内课题(2018040)。

摘　　要：探讨术前电子支气管镜(electric bronchoscope,EB)检查在胸中上段食管癌手术临床应用价值。选取90例胸中上段食管癌患者术前行EB检查,诊断气管、主支气管受侵情况,与手术及病理气管、主支气管受侵情况进行对照比较及统计分析。结果显示,术前EB检查判断食管癌侵犯气管、主支气管的灵敏度(Se)为82.35%,特异度(Sp)为97.26%,准确度为94.44%,阳性预测值为87.5%,阴性预测值为95.95%,阳性似然比(+LR)为30.06,阴性似然比(-LR)为0.18。结果表明,术前EB检查是判断胸中上段食管癌有无侵犯气管、主支气管的有效方法之一。This paper analyzes the clinical value of electric bronchoscope(EB)in the operation of upper and middle thoracic esophageal cancer.A total of 90 patients with middle and upper thoracic esophageal cancer are selected for the diagnosis of tracheobronchial invasion through preoperative EB,and compared with the cases of tracheobronchial invasion by surgery and pathology for a statistical analysis.With preoperative EB for determining the invasion of esophageal cancer against the trachea and main bronchus,we find that the sensitivity(Se)is 82.35%,the specificity is 97.26%,the diagnostic accuracy is 94.44%,the positive predictive value is 87.5%,the negative predictive value is 95.95%,+LR is 30.06,and-LR is 0.18.The results show that preoperative bronchoscopy can be used as one of the effective methods to determine whether the trachea and main bronchus are invaded or not in the middle and upper thoracic esophageal cancer patients.

关 键 词：电子支气管镜 术前检查 食管癌 食管切除术 肿瘤分期 

分 类 号：R735.1[医药卫生—肿瘤]