| 李彩英,刘怀军,彰俊杰,许茜,李如迅.术前CT判断食管癌可切除性[J].中国医学影像技术,2004,20(12):1895~1897 |
| 术前CT判断食管癌可切除性 |
| Predicting assessment in resectability of esophageal carcinoma with |
| 投稿时间：2004-08-09 |
| DOI： |
| 中文关键词: 食管肿瘤 体层摄影术,X线计算机 外科手术 诊断 |
| 英文关键词:Esophageal carcinoma Tomography, X-ray computed Surgery Diagnosis |
| 基金项目: |
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| 摘要点击次数: 2375 |
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| 中文摘要: |
| 目的 探讨术前CT扫描在食管癌可切除性评估中的价值。方法 107例食管癌患者,术前全部行胸部CT平扫,45例增强扫描。将CT扫描结果与手术、病理相对照。结果 107例中,102例行手术切除,食管癌切除率为95.3%(102/107);其余5例因食管癌侵犯邻近组织而仅行探查术。食管癌术前表现与手术所见一致性较好(Kappa=0.482,P<0.001)。结论 术前CT扫描判断食管癌能否切除具有很高的临床价值,可减少不必要的外科手术。 |
| 英文摘要: |
| Objective To investigate the value of computed tomography in the preoperative assessing of resectability of esophageal carcinoma. Methods CT scanning was performed in 107 patients with proven carcinoma of the esophagus. All results of CT were compared with surgical and pathologic findings. Results The resectable rate of esophageal cancer was 95.3% (102/107). Five patients underwent surgical exploration for tumour infiltrating surrounding vital structures. A high agreement was found between CT results and intraoperative findings (Kappa=0.482,P<0.001). Conclusion Computed tomography has important value in preoprative assessing of resectability esophageal carcinoma and avoiding surgical exploration. |
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