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作者对68例食管癌病人的术前CT检查结果进行分析,并与手术及病理结果对比,以探讨CT检查对食管癌切除的预测作用。结果表明:CT判断主动脉和气管、支气管受累的准确性分别为95.6%、98.5%;癌肿切除预测的敏感性、特异性、准确性分别为92.7%、94.4%、94.1%。CT检查对临床选择治疗方案有较高的应用价值,但癌肿能否切除取决于手术方式和技术水平。作者建议,依据病变食管与邻近主动脉和椎体之间三角形脂肪间隙消失来判断主动脉受累,有利于提高预测癌肿切除的准确性。
The author of 68 cases of esophageal cancer patients preoperative CT examination results were analyzed and compared with the surgical and pathological results in order to explore the CT examination of esophageal cancer resection prediction. The results showed that the accuracy of CT in predicting aortic and tracheal bronchus involvement was 95.6% and 98.5% respectively. The sensitivity, specificity and accuracy of predicting tumor removal were 92.7% and 94.4%, respectively %, 94.1%. CT examination of the clinical choice of treatment programs have a high value, but the removal of cancer depends on the surgical approach and technical level. The authors suggest that judging the involvement of the aorta based on the disappearance of the triangular fat gap between the esophagus and the adjacent aorta and vertebral body is helpful to predict the accuracy of the predictive cancer resection.