| 食管癌放疗后并发食管-纵隔瘘的多层螺旋CT诊断 |
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| 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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| 作者姓名： | 陈大朝 林焕斌 陈华燕 许孟君 |
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| 作者单位： | 解放军第175医院,影像中心,福建省漳州市363000 |
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| 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.
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| 关 键 词： | 食管癌 食管-纵隔瘘 CT诊断 |
| 文章编号： | 1004-4140(2007)01-0085-04 |
| 修稿时间： | 2006年12月21日 |
Multislice CT Diagnosis of Mediastino-Esophageal Fistulas Subsequent Esophageal Carcinoma after Radiotherapy |
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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].Computerized Tomography Theory and Applications,2007,16(1):85-88. |
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| Authors: | CHEN Da-chao LIN Huan-bin CHEN Hua-yan XU Meng-jun |
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| 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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| Keywords: | esophageal carcinoma mediastino-esophageal fistulas CT diagnosis |
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