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目的探讨食管癌的CT诊断和术前分期评价。方法回顾性分析36例经手术及病理确诊的食管癌患者CT资料,并进行CT分期,与手术及病理结果对照,总结食管癌的术前CT诊断和分期经验。结果本组36例螺旋CT扫描病灶的检出率100%,CT分期准确率88·9%。结论螺旋CT扫描对于食管癌的病灶发现和肿块侵润范围、侵犯周围脏器情况、术前分期的评估等具有较高的符合率和临床价值,可以作为食管癌治疗前的常规检查。
Objective To investigate the CT diagnosis and preoperative staging of esophageal cancer. Methods The CT data of 36 patients with esophageal cancer confirmed by operation and pathology were retrospectively analyzed. The CT staging was compared with the results of surgery and pathology. The diagnosis and staging of esophageal cancer were summarized. Results The detection rate of spiral CT in 36 cases of this group was 100%. The CT staging accuracy was 88.9%. Conclusion Spiral CT scan can be used as routine examination before esophageal cancer treatment for the detection of esophageal lesions and the extent of tumor invasion, the invasion of surrounding organs and the assessment of preoperative staging.