多排螺旋CT在评价食管癌术后复发/转移中的价值分析  

Value Analysis of Multi-slice Spiral CT in Evaluating Postoperative recurrence/Metastasis of Esophageal Cancer

作　　者：朱彪 唐悦 陈立顶 Zhu Biao;Tang Yue;Chen Liding(Imaging Department of Taizhou Integrated Traditional Chinese and Western Medicine Hospital,Taizhou Jiangsu 225300,China)

机构地区：[1]泰州市中西医结合医院影像科,江苏泰州225300

出　　处：《生命科学仪器》2024年第1期14-16,共3页Life Science Instruments

摘　　要：目的探讨分析在食管癌术后复发/转移中行多排螺旋CT检查的临床价值。方法对泰州市中西医结合医院2020年6月-2023年6月治疗的78例疑似复发/转移食管癌术后患者均进行螺旋CT检查,分析诊断效能。结果以病理诊断结果为金标准,78例患者中,证实有29例复发,多排螺旋CT检出率为20例,符合率为68.97%,准确率为83.33%,差异无统计学意义(P>0.05);病理诊断结果证实,发生淋巴结转移46例,CT检出38例,符合率为82.61%,准确率为84.62%,差异无统计学意义(P>0.05);病理诊断结果证实,发生淋巴结外转移23例,CT检出18例,符合率78.26%,准确率为88.46%,差异无统计学意义(P>0.05)。结论食管癌术后及时行多排螺旋CT检查对复发/转移的检出率较高,可为临床诊疗提供重要依据。Objective:To explore and analyze the clinical value of multi-slice spiral CT in postoperative recurrence/metastasis of esophageal cancer.Methods:78 patients with suspected recurrent/metastatic esophageal cancer treated in Taizhou Hospital of Integrated Traditional Chinese and Western Medicine from June 2020 to June 2023 were examined by spiral CT,and the diagnostic efficiency was analyzed.Results:Taking pathological diagnosis as the gold standard,among 78 patients,29 cases were confirmed to have recurrences,and the detection rate of multi-slice spiral CT was 20 cases,the coincidence rate was 68.97%,and the accuracy rate was 83.33%,with no statistical significance(P>0.05).Pathological diagnosis confirmed that 46 cases had lymph node metastasis,and 38 cases were detected by CT.The coincidence rate was 82.61%and the accuracy rate was 84.62%,with no statistical significance(P>0.05).Pathological diagnosis confirmed that 23 cases had extranodal metastasis,and 18 cases were detected by CT,the coincidence rate was 78.26%.The accuracy rate was 88.46%,with no statistical significance(P>0.05).Conclusion:Timely multi-slice spiral CT examination of esophageal cancer after operation has a high detection rate of recurrence/metastasis,which can provide an important basis for clinical diagnosis and treatment.

关 键 词：多排螺旋CT 食管癌术后 复发 转移 

分 类 号：R735.2[医药卫生—肿瘤]