ISSN 1004-4140
CN 11-3017/P
陈大朝, 林焕斌, 陈华燕, 许孟君. 食管癌放疗后并发食管-纵隔瘘的多层螺旋CT诊断[J]. CT理论与应用研究, 2007, 16(1): 85-88.
引用本文: 陈大朝, 林焕斌, 陈华燕, 许孟君. 食管癌放疗后并发食管-纵隔瘘的多层螺旋CT诊断[J]. CT理论与应用研究, 2007, 16(1): 85-88.
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CHEN Da-chao, LIN Huan-bin, CHEN Hua-yan, XU Meng-jun. Multislice CT Diagnosis of Mediastino-Esophageal Fistulas Subsequent Esophageal Carcinoma after Radiotherapy[J]. CT Theory and Applications, 2007, 16(1): 85-88.
Citation: CHEN Da-chao, LIN Huan-bin, CHEN Hua-yan, XU Meng-jun. Multislice CT Diagnosis of Mediastino-Esophageal Fistulas Subsequent Esophageal Carcinoma after Radiotherapy[J]. CT Theory and Applications, 2007, 16(1): 85-88.
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食管癌放疗后并发食管-纵隔瘘的多层螺旋CT诊断

Multislice CT Diagnosis of Mediastino-Esophageal Fistulas Subsequent Esophageal Carcinoma after Radiotherapy

    摘要
  • 摘要: 目的:分析食管癌放疗后食管-纵隔瘘的CT表现,探讨螺旋CT对食管癌放疗后继发食管-纵隔瘘的诊断价值。方法:对10例临床确诊为食管癌。经放射治疗后发生食管瘘患者行CT扫描,并进行多平面重建和仿真内镜,总结其CT表现,并与内窥镜检查作比较。结果:CT成功显示了食管-纵隔瘘的瘘口,并显示了瘘口的并发症;纵隔炎,仿真内镜显示了瘘口的形状,并与消化内镜相符合。结论:螺旋CT断层扫描与仿真内镜能显示食管瘘的瘘口及其并发的纵隔炎症,为食管癌放疗后并发食管-纵隔瘘的治疗提供可靠的影像学依据。

     

    Abstract: Objective: To analyze the characteristics of mediastinoesophgeal fistulas Subsequent Esophageal Carcinoma after radiotherapy on multislice CT(MSCT),and evaluates the diagnostic value of MSCT.Methods: MSCT imaging of 10 patients who suffered with mediastinoesophgeal fistulas secondary to carcinoma of esophagus after radiotherapy were retrospectively studied.The CT scans involved axial computerized tomography and multi-plane reconstruction(MPR) and virtual bronchoscopy made on the workstation.The imaging manifestations were correlated with endoscope fingdings.Results: The CT imaging shows the fistulas successfully,and the mediastinitis were found in all the patents.The appearances of the fistula manifested on the bronchoscopy were consistent to the endoscope findings.Conclusion: MSCT and its virtual bronchoscopy are reliable for showing and assessing the mediastinoesophgeal fistula and its complications,thus afford a reliable imajings evidenced in proceed treatment.

     

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