Evaluation of Imaging Value of CT Combined with Esophagography in the Diagnosis of Esophageal Carcinoma
探讨CT联合食管造影诊断食管癌的影像价值评估

摘要

目的 对临床诊断食管癌中CT联合食管造影影响价值进行分析。方法 以我院收治121例食管癌患者（2018年3月-2022年7月）为对象，分别行CT和食管造影检查。结果 对早期食管癌患者来说造影检出率明显更高，对于进展期患者来说，造影检出率明显低于的CT；针对早期患者CT联合食管造影检出率无明显改善，进展期患者的联合检出率明显升高；化疗治疗后患者会在一定程度出现水肿和纤维化，此时单独造影检查会出现假阳性现象，两者联合检查的疗效评估更高；与CT检查相比较，造影检查术后吻合口瘘及狭窄检出率明显更高；两者联合在术后复发方面可明显提升检出率。结论 在临床诊治食管癌过程中CT和食管造影联合检查可起到互补的效果。

Abstract

Objective: To analyze the value of CT combined with esophagography in clinical diagnosis of esophageal cancer.
Methods: 120 patients with esophageal cancer in our hospital (March 2018 to July 2022) were examined by CT and esophagography respectively.
Results: For patients with early esophageal cancer, the detection rate of angiography was significantly higher, and for patients with advanced stage, the detection rate of angiography was significantly lower than that of CT; For early patients, the detection rate of CT combined with esophagography did not improve significantly, but the detection rate of advanced patients increased significantly; After chemotherapy, patients will have edema and fibrosis to a certain extent. At this time, there will be false positive phenomenon in the single contrast examination, and the efficacy evaluation of the combined examination is higher; Compared with CT, the detection rate of anastomotic leakage and stenosis by angiography was lower and higher; The detection rate of postoperative recurrence was significantly higher with the combination of the two.
Conclusion  : The combined CT and esophagography can play a complementary role in the clinical diagnosis and treatment of esophageal cancer.