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目的研究食管癌的CT检查与手术治疗的符合率。判断CT在食管癌术前的诊断价值。方法食管癌患者88例,其中鳞癌82例,腺癌5例,腺鳞癌1例。比较CT、手术治疗发现转移、CT诊断标准与手术标准的符合率。结果 CT诊断与手术确认的真实情况比较,诊断符合率分别为:87.5%、94.1%、88.9%、80%,均属于良好及以上的诊断符合率。食管癌CT分期与手术对照显示:一期到四期的符合率都在87%以上。结论 CT和手术的诊断符合率良好,达到了80%及以上。因此,食管癌患者进行术前的CT诊断是必要的,能够更好的指导临床。
Objective To study the coincidence rate of CT examination and surgical treatment of esophageal cancer. To determine the value of CT in the preoperative diagnosis of esophageal cancer. Methods 88 cases of esophageal cancer patients, including squamous cell carcinoma in 82 cases, adenocarcinoma in 5 cases, adenosquamous carcinoma in 1 case. Comparison of CT, surgical treatment found metastasis, CT diagnostic criteria and surgical standards in line with the rate. Results The diagnostic accuracy of CT diagnosis was 87.5%, 94.1%, 88.9% and 80% respectively, all of which were in good agreement with the diagnosis. CT staging of esophageal cancer and surgical control showed that: a to four coincidence rate of more than 87%. Conclusion The coincidence rate of CT and surgery is good, reaching 80% and above. Therefore, the diagnosis of esophageal cancer patients before CT is necessary to better guide the clinical.