發(fā)布時間：2018-06-03 01:56

  本文選題：食管瘺 + 體層攝影術(shù)　； 參考：《中國臨床醫(yī)學(xué)影像雜志》2017年10期

【摘要】：目的:探討軸位聯(lián)合多種窗技術(shù)和曲面重組(Curved planar reformation,CPR)診斷食管瘺的價值。方法 :回顧性搜集2010年10月—2016年10月期間疑似食管瘺患者110例,所有患者均行MDCT軸位及多種窗技術(shù)和CPR成像。利用χ2檢驗比較軸位聯(lián)合多種窗技術(shù)和CPR診斷食管瘺、確定瘺口位置與軸位診斷結(jié)果的差異;以胃鏡或隨訪結(jié)果為金標(biāo)準(zhǔn),采用ROC評價軸位聯(lián)合多種窗技術(shù)和CPR、軸位的診斷效能。利用Wilcoxon檢驗比較MDCT圖像上測量食管瘺口縱向長度與胃鏡測量結(jié)果的差異。結(jié)果:110例可疑食管瘺患者中,食管瘺53例(55處瘺口),均經(jīng)胃鏡、食管造影證實。采用軸位聯(lián)合多種窗技術(shù)和CPR診斷食管瘺效能高于軸位,兩者比較有統(tǒng)計學(xué)差異,χ~2=8.787,P=0.032;但在確定食管瘺口位置方面無統(tǒng)計學(xué)差異,χ~2=0.104,P0.05。CPR脂肪窗測量瘺口長度與胃鏡測量結(jié)果比較有統(tǒng)計學(xué)差異,z=-2.722,P=0.006。CPR縱隔窗上測量結(jié)果與胃鏡比較無統(tǒng)計學(xué)差異,z=-1.807,P=0.071。結(jié)論:軸位聯(lián)合多種窗技術(shù)CPR對食管瘺具有獨特的診斷價值,可全面評估瘺口部位及范圍,提高診斷準(zhǔn)確率。
[Abstract]:Objective: to evaluate the value of axial combined with multiple window technique and curved planar reformation (CPRs) in the diagnosis of esophageal fistula. Methods: 110 patients with suspected esophageal fistula from October 2010 to October 2016 were retrospectively collected. All patients underwent MDCT axial imaging and multiple window techniques and CPR imaging. Using 蠂 2 test to compare axial position combined with multiple window technique and CPR to diagnose esophageal fistula, to determine the difference between the location of fistula and axial diagnosis, and to take gastroscopy or follow-up results as the gold standard. ROC was used to evaluate the diagnostic efficacy of axial position combined with multiple windows and CPRs. The difference between the longitudinal length of esophageal fistula measured on MDCT images and the results of gastroscopy was compared by Wilcoxon test. Results among 110 suspected esophageal fistula cases, 53 cases had 55 fistula sites, all of which were confirmed by gastroscopy and esophagography. The diagnostic efficacy of axial combined with multiple window technique and CPR in diagnosis of esophageal fistula was higher than that in axial position. There was statistical difference between the two groups (蠂 ~ 2 / 2 ~ (8.787) P ~ (0.032), but there was no statistical difference in determining the location of esophageal fistula. There was no statistical difference between the measurement of fistula length by 蠂 ~ (2 +) 0.104 ~ (th) P 0.05.CPR and gastroscopy. There was no significant difference between the results of z ~ + -1.807 ~ (?) P ~ (0.071) and that of gastroscopy in the mediastinal window of 蠂 ~ + -2.722 ~ (?) P _ (0.006) CPR. Conclusion: axial combined with multiple window technique CPR has a unique diagnostic value for esophageal fistula, which can comprehensively evaluate the location and range of fistula and improve the diagnostic accuracy.
【作者單位】： 徐州醫(yī)科大學(xué)附屬第三醫(yī)院影像科;
【分類號】：R571;R816.5

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