螺旋CT多平面重建技术对食管鳞癌喉返神经旁淋巴结转移风险的预测价值研究  

Predictive value of spiral CT multiplanar reconstruction technique in the risk of lymph node metastasis next to recurrent laryngeal nerve in esophageal squamous cell carcinoma

作　　者：欧小玲[1] 杨彬[1] 孟祥荣 胡海峰[2] OU Xiao-ling;YANG Bin;MENG Xiang-rong;HU Hai-feng(Department of Radiology,Chaohu Hospital Affiliated to Anhui Medical University,Chaohu Anhui 238000,China)

机构地区：[1]安徽医科大学附属巢湖医院放射科,安徽巢湖238000 [2]安徽医科大学附属巢湖医院胸外科,安徽巢湖238000

出　　处：《武警后勤学院学报（医学版）》2021年第8期36-38,共3页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】探讨螺旋计算机断层扫描(CT)多平面重建(MPR)技术对食管鳞癌喉返神经旁淋巴结转移风险的预测价值。【方法】以术前进行多层螺旋CT扫描的100例食管鳞癌患者为研究对象,将其分为喉返神经旁淋巴结转移组和喉返神经旁淋巴结无转移组。【结果】喉返神经旁淋巴结转移32例(转移组),未转移78例(未转移组)。转移组肿瘤分化程度高、肿瘤长度≥8 mm、T3分期占比、淋巴结长径、淋巴结短径、淋巴结短径/长径均高于未转移组(P<0.05)。淋巴结长径、淋巴结短径、淋巴结短径/长径均是影响淋巴结转移的相关因素(P<0.05)。淋巴结长径、淋巴结短径、淋巴结短径/长径预测喉返神经旁淋巴结转移的曲线下面积分别为0.705、0.711、0.847。【结论】螺旋CT MPR技术对食管鳞癌喉返神经旁淋巴结转移风险具有良好预测价值。【Objective】To investigate the predictive value of spiral computed tomography(CT)multiplanar reconstruction(MPR)technique in the risk of lymph node metastasis near recurrent laryngeal nerve in esophageal squamous cell carcinoma.【Methods】One hundred patients with esophageal squamous carcinoma who underwent preoperative multilayer spiral CT scan were studied and divided into the group with lymph node metastasis next to the recurrent laryngeal nerve and the group without lymph node metastasis next to the recurrent laryngeal nerve.【Results】There were 32 cases of lymph node metastasis in the paraglottic nerve(metastatic group)and 78 cases without metastasis(non-metastatic group).The metastatic group had higher tumor differentiation,tumor length≥8 mm,T3 stage percentage,lymph node long diameter,lymph node short diameter,and lymph node short diameter/long diameter than those in the non-metastatic group(P<0.05).Lymph node long diameter,lymph node short diameter,and lymph node short diameter/long diameter were all relevant factors affecting lymph node metastasis(P<0.05).The area under curve for lymph node long diameter,lymph node short diameter,and lymph node short diameter/long diameter to predict lymph node metastasis next to laryngeal return nerve were 0.705,0.711,and 0.847,respectively.【Conclusion】Spiral CT MPR technique has good predictive value for the risk of lymph node metastasis next to paraglottic nerve of esophageal squamous cell carcinoma.

关 键 词：食管鳞癌 喉返神经 淋巴结 转移 螺旋CT多平面重建技术 

分 类 号：R445[医药卫生—影像医学与核医学]