【摘要】 目的 :为了准确地预测食管癌术前淋巴结转移情况 ,并对食管癌术前CT分期及术后TNM分期对比。方法 :6 0例经病理学证实的食管癌病人行术前CT检查 (平扫加增强扫描 5 6例 ) ,并与手术及术后病理结果相对比。结果 :术前CT检查对淋巴结转移的敏感性、特异性及准确性分别为 48.0 0 %、81.48%及 6 5 .38%。按术前CT的Moss法分期 :Ⅰ期 ,0 ;Ⅱ期 39;Ⅲ期 18;Ⅳ期3。与术后的国际TNM分期符合 49例 ,符合率为 81.6 7%。结论 :食管癌术前CT检查对淋巴结转移的预测是较有价值和重要的 ,还可协助制定治疗方案等。目的 :为了准确地预测食管癌术前淋巴结转移情况 ,并对食管癌术前CT分期及术后TNM分期对比。方法 :6 0例经病理学证实的食管癌病人行术前CT检查 (平扫加增强扫描 5 6例 ) ,并与手术及术后病理结果相对比。结果 :术前CT检查对淋巴结转移的敏感性、特异性及准确性分别为 48.0 0 %、81.48%及 6 5 .38%。按术前CT的Moss法分期 :Ⅰ期 ,0 ;Ⅱ期 39;Ⅲ期 18;Ⅳ期3。与术后的国际TNM分期符合 49例 ,符合率为 81.6 7%。结论 :食管癌术前CT检查对淋巴结转移的预测是较有价值和重要的 ,还可协助制定治疗方案等。更多还原

【Abstract】 Objective:In order to predict esophageal carcinoma accuratly about nodal metasatses and esophageal classification.Methods:60 cases proved by histology underwent preoperative CT (computed tomography)examination and compared with intraoperative and postoperative pathohistologic findings.Results:sensitivity specificity and accuracy of CT scans for nodal metasases were 48.00%,81.48%,65.38%,respectively.According to Moss’s criterion in CT staging stage Ⅰ,0;Ⅱ 39;Ⅲ 18;Ⅳ 3.Compared with TNM classification,49 cases were conformable.The accuracy was 81.67%.Conclusion:Preoperative CT is important and necessary for detecting nodel metasases and staging of esophageal carcinoma it is helpful for Preoperative Planning. [更多还原