多排螺旋CT在评价食管癌术后复发/转移中的价值分析
ValueAnalysis of Multi-slice Spiral CT in Evaluating Postoperative recurrence/Metastasis of Esophageal Cancer
朱彪 1唐悦 1陈立顶1
作者信息
- 1. 泰州市中西医结合医院影像科,江苏泰州 225300
- 折叠
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.
Abstract
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 ex-amined 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 sig-nificance(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Key words
Multi-row spiral CT/Postoperative oesophageal cancer/Recurrence/Metastasis引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据