X线钡餐造影与CT检查在食管癌患者早期诊断中的应用价值  

Application Value of X-Ray Barium Meal and CT Examination in Early Diagnosis of Patients with Esophageal Cancer

作　　者：刘朋 LIU Peng(Department of Imaging,Gaotang People’s Hospital,Liaocheng 252000,China)

机构地区：[1]山东省高唐县人民医院影像科,山东聊城252000

出　　处：《中国伤残医学》2024年第22期103-106,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:评估X线钡餐造影与CT检查在食管癌患者早期诊断中的准确性及临床应用价值。方法:回顾性分析2022年5月-2024年6月高唐县人民医院收治的70例疑似食管癌患者资料。所有患者均接受X线钡餐造影与CT检查诊断,并以病理学检查作为最终确诊依据。计算X线钡餐造影与CT检查的诊断效能指标,对比食管癌及食管良性病变的CT值。结果:经病理学检查确认,70例疑似食管癌患者中阳性53例,阴性17例。X线钡餐造影检查阳性52例,阴性18例,Kappa值为0.810;CT检查阳性51例,阴性19例,Kappa值为0.328。X线钡餐造影灵敏度为94.34%、特异度为88.24%、准确度为92.86%、阳性预测值为96.15%、阴性预测值为83.33%,高于CT检查的81.13%、52.94%、74.29%、84.31%、47.37%,差异均有统计学意义(P<0.05)。食管癌患者CT值高于食管良性病变患者,差异有统计学意义(P<0.05)。结论:X线钡餐造影具有高灵敏度、特异度、准确度、阳性预测值和阴性预测值,在食管癌的早期筛查和诊断中发挥着重要作用,CT检查有助于进一步鉴别诊断。Objective:To evaluate the accuracy and clinical value of X-ray barium meal and CT examination in early diagnosis of patients with esophageal cancer.Methods:The data of 70 patients with suspected esophageal cancer treated in Gaotang People’s Hospital from May 2022 to June 2024 were retrospectively analyzed.All patients were diagnosed by X-ray barium meal and CT examination,and the final diagnosis was based on pathological examination.The diagnostic efficacy indexes of X-ray barium meal and CT examination were calculated,and the CT values of esophageal cancer and benign esophageal lesions were compared.Results:Among the 70 suspected esophageal cancer patients with esophageal cancer,53 were positive and 17 were negative.X-ray barium meal examination was positive in 52 cases,negative in 18 cases,Kappa value was 0.810.CT examination was positive in 51 cases,negative in 19 cases,and Kappa value was 0.328.The sensitivity of X-ray barium meal was 94.34%,the specificity was 88.24%,the accuracy was 92.86%,the positive predictive value was 96.15%,and the negative predictive value was 83.33%,which were higher than 81.13%,52.94%,74.29%,84.31%,47.37%of CT examination,the differences were statistically significant(P<0.05).CT value of patients with esophageal cancer was higher than that of patients with benign esophageal lesions,and the difference was statistically significant(P<0.05).Conclusion:X-ray barium meal has high sensitivity,specificity,accuracy,positive predictive value and negative predictive value,which plays an important role in the early screening and diagnosis of esophageal cancer.CT examination is helpful for further differential diagnosis.

关 键 词：食管癌 早期诊断 X线钡餐造影 CT检查 诊断效能 病理学检查 

分 类 号：R735.1[医药卫生—肿瘤]