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目的:探讨胸部CT在食管癌手术中的作用。方法:对97例经病理证实的食管癌患者术前胸部CT影像和术中情况进行回顾性分析。结果:胸部CT能精确显示病变段食管壁的厚度、长度、肿瘤与主动脉、气管、支气管、心包和肺静脉等的关系及局部淋巴结转移情况,提示手术切除可能出现的困难;正确掌握食管癌的术前CT分期可以选择适当的治疗方案,减少手术探查率。结论:胸部CT扫描对术前判定食管癌的分期和提高手术切除率有重要的意义。
Objective: To explore the role of chest CT in esophageal cancer surgery. Methods: Preoperative chest CT images and intraoperative findings of 97 patients with pathologically confirmed esophageal cancer were analyzed retrospectively. Results: Chest CT can accurately display the thickness and length of the esophageal wall, the relationship between tumor and the aorta, trachea, bronchus, pericardium and pulmonary vein and the local lymph node metastasis, which may indicate the difficulty of surgical resection. Preoperative CT staging can choose the appropriate treatment options to reduce the surgical exploration rate. Conclusions: CT scan of chest has important significance for preoperative determination of esophageal cancer staging and improvement of resection rate.