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目的:探讨CT扫描、食管造影和内窥镜测量食管癌病变长度的价值。方法:应用CT扫描、食管造影和内窥镜等方法测量74例食管癌病变长度,以食管癌病理标本收缩比回推至人体内实际长度为标准,比较各检查方法测量食管癌病变长度的符合程度。结果:食管癌病变长度从小到大依次为镜检长度、实体肿瘤长度、食管造影长度和CT扫描长度,其中镜检长度和造影长度与实体肿瘤长度较为接近。CT扫描、食管造影和内窥镜测量食管癌病变长度的符合率分别为41.9%(31/74)、55.4%(41/74)和73.0%(54/74),CT扫描符合率最低(P=0.001)。CT扫描重度不符合率为65.1%(28/43),食管造影为42.4%(14/33),内窥镜为30.0%(6/20),CT扫描所占比例最高(P=0.019)。结论:镜检长度关和键造词影长食度管与癌实体计肿算瘤机长体度层较摄为影接术近,食CT管测钡量餐食造管影癌病内变窥长镜度与长实度体肿瘤长度差异较大。
Objective: To investigate the value of CT scan, esophageal angiography and endoscopy in measuring the length of esophageal cancer. Methods: The pathological changes of 74 cases of esophageal cancer were measured by CT scan, esophageal angiography and endoscopy, and the actual length of the esophageal cancer pathological specimens was compared with the actual length of the esophageal cancer specimens. degree. Results: The length of esophageal cancer lesion followed by microscopic examination length, solid tumor length, esophageal imaging length and CT scan length. The length of microscopic examination and imaging length were close to the length of solid tumor. The coincidence rate of CT scan, esophageal angiography and endoscopy in measuring the length of esophageal cancer were 41.9% (31/74), 55.4% (41/74) and 73.0% (54/74), respectively. The coincidence rate of CT scan was the lowest = 0.001). The rate of severe CT scan was 65.1% (28/43), esophagogram was 42.4% (14/33), endoscopy was 30.0% (6/20), and CT scan was the highest (P = 0.019). Conclusion: The length of the microscopic examination and the key words made by the long food tube and the solid body tumor of the tumor is bigger than that of the captive tumor. Mirror and the length of solid tumors vary greatly in length.