摘要
Abstract
Objective:To evaluate the accuracy and clinical value of X-ray barium meal and CT examination in early diagnosis of patients with esophageal cancer.Methods:The data of 70 patients with suspected esophageal cancer treated in Gaotang People's Hospital from May 2022 to June 2024 were retrospectively analyzed.All patients were diagnosed by X-ray barium meal and CT examination,and the final diagnosis was based on pathological examination.The diagnostic efficacy indexes of X-ray barium meal and CT examination were calculated,and the CT values of esophageal cancer and benign esophageal lesions were compared.Results:Among the 70 suspected esophageal cancer patients with esophageal cancer,53 were positive and 17 were negative.X-ray barium meal examination was positive in 52 cases,negative in 18 cases,Kappa value was 0.810.CT examination was positive in 51 cases,negative in 19 cases,and Kappa value was 0.328.The sensitivity of X-ray barium meal was 94.34%,the specificity was 88.24%,the accuracy was 92.86%,the positive predictive value was 96.15%,and the negative predictive value was 83.33%,which were higher than 81.13%,52.94%,74.29%,84.31%,47.37%of CT examination,the differences were statistically significant(P<0.05).CT value of patients with esophageal cancer was higher than that of patients with benign esophageal lesions,and the difference was statistically significant(P<0.05).Conclusion:X-ray barium meal has high sensitivity,specificity,accuracy,positive predictive value and negative predictive value,which plays an important role in the early screening and diagnosis of esophageal cancer.CT examination is helpful for further differential diagnosis.关键词
食管癌/早期诊断/X线钡餐造影/CT检查/诊断效能/病理学检查Key words
Esophageal cancer/Early diagnosis/X-ray barium meal/CT examination/Diagnostic effectiveness/Pathological examination分类
医药卫生
