摘要
目的探讨胸中段食管癌上纵隔淋巴结肿大的CT特征。方法分析了 72例胸中段食管癌治疗前上纵隔淋巴结肿大CT扫描资料 ,72例均行CT平扫 ,18例行增强扫描。结果胸中段食管癌纵隔淋巴结肿大部位 :右上纵隔气管旁沟 5 6例 (6 8.3 % ) ,左上气管旁沟 9例 (10 .8% ) ,隆突下 6例 (7.3 % ) ,胸部查体及X线胸片该区常为阴性 ;纵隔淋巴结肿大与病变大小不成正比。结论CT是胸中段食管癌治疗前发现纵隔淋巴结肿大较佳的检查方法 ,对临床治疗有很大实用价值 。
ObjectiveTo evaluate the character of CT examination for enlarged lymph nodes in the mediastinum of midesophagus carcinoma.Methods72 cases of midesophagus carcinoma were examinated by routine chest CT examination and in which 18 cases were examinated by administration of a bolus of intravenous contrast material.ResultsCT images represented that the enlarged rate of lymph nodes in the right up mediastinum was 68.3 % ,in the left up mediastinum 10.8 % and after carina 7.3 % ,which routine chest roentgenogram and physical examination can not be found out.The enlarged lymph nodes in the mediastinum are out of proportion to the extent of the pathology.ConclusionCT examination is a better measure to find out these enlarged lymph nodes.It suggests that doctors must pay attention to these special features of the diease,and work out reasonable treament method for midesophagus carcinoma. MeSH esophagus carcinoma;lymph nodes;mediastinum;tomography,X ray computed
出处
《河北医科大学学报》
CAS
2001年第5期280-282,共3页
Journal of Hebei Medical University
关键词
食管癌
纵隔淋巴结肿大
CT
诊断
治疗
esophagus carcinoma
lymph nodes
mediastinum
tomography,Xray computed
