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作 者:王佳宾 周勇[1] WANG Jiabin;ZHOU Yong(Department of Radiology,Nanyang Central Hospital,Nanyang,Henan 473000,China)
出 处:《中国医学工程》2023年第4期80-83,共4页China Medical Engineering
摘 要:目的 分析X线钡餐造影和CT扫描在食管癌诊断中的应用价值。方法 选取南阳市中心医院放射科2020年9月至2021年9月收治的83例确诊的食管癌患者为研究对象,均实施X线钡餐造影和CT扫描,详细记录图像结果,以手术病理结果为“金标准”对X线钡餐造影和CT扫描在食管癌诊断中的应用价值进行研究。结果 83例食管癌节患者,良性54例、恶性29例。Ⅰ~Ⅱ期X线钡餐造影分期阳性检出率较高,Ⅲ~Ⅳ期CT扫描分期阳性检出率较高,而联合检测对Ⅲ~Ⅳ期食管癌的诊断价值最高,差异具有统计学意义(P<0.05)。相比X线钡餐造影和CT扫描,两项联合检查灵敏度、准确度、AUC值较高,特异度较低,差异具有统计学意义(P<0.05)。结论 X线钡餐造影联合CT扫描对食管癌的诊断价值,均高于两者进行单独检测的价值,进行联合检测,能显著提升诊断价值,提升诊断准确率。【Objective】 To analyze the application value of X-ray barium meal and CT scan in the diagnosis of esophageal cancer.【Methods】 A total of 83 patients with esophageal cancer admitted to our hospital from September 2020 to September 2021were selected as the research objects.X-ray barium meal angiography and CT scan were performed,and the image results were recorded in detail.The application value of X-ray barium meal angiography and CT scan in the diagnosis of esophageal cancer was studied using surgical and pathological results as the "gold standard".【Results】 Of 83 patients with esophageal carcinoma,54 were benign and 29 were malignant.The positive detection rate of stage Ⅰ–Ⅱ X-ray barium meal was higher,and the positive detection rate of stage Ⅲ – Ⅳ CT scan was higher.The combined detection had the highest diagnostic value for stage Ⅲ – Ⅳ esophageal cancer,and the difference was statistically significant(P<0.05).Compared with X-ray barium meal and CT scan,the sensitivity,accuracy and AUC values of the two combined examinations were higher,but the specificity was lower,and the differences were statistically significant(P<0.05).【Conclusion】 The diagnostic value of X-ray barium meal combined with CT scan for esophageal cancer is higher than that of the two alone.The combined detection can significantly improve the diagnostic value and diagnostic accuracy.
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