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CT扫描 食管造影和内窥镜测量食管癌病变长度的价值

Jun WANG,Shuchai ZHU,Chun HAN,Xiaoning LI,Chao GAO,Yuqin ZHAO,Jinghao JIA

Chinese Journal of Clinical Oncology（2008）

Cited 20|Views11
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Abstract
目的:探讨CT扫描、食管造影和内窥镜测量食管癌病变长度的价值.方法:应用CT扫描、食管造影和内窥镜等方法测量74例食管癌病变长度,以食管癌病理标本收缩比回推互人体内实际长度为标准,比较各检查方法测量食管癌病变长度的符合程度.结果:食管癌病变长度从小到大依次为镜检长度、实体肿瘤长度、食管造影长度和CT扫描长度,其中镜检长度和造影长度与实体肿瘤长度较为接近.CT扫描、食管造影和内窥镜测量食管癌病变长度的符合率分别为41.9%(31/74)、55.4%(41/74)和73.0%(54/74),CT扫描符合率最低(P=0.001).CT扫描重度不符合率为65.1%(28/43),食管造影为42.4%(14/33),内窥镜为30.0%(6/20),CT扫描所占比例最高(P=0.019).结论:镜检长度和造影长度与实体肿瘤长度较为接近,CT测量食管癌病变长度与实体肿瘤长度差异较大.
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Key words
Computed tomography,Endoscopy,Esophageal neoplasm,Esophagogram,Tumor length
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