超声内镜在胰腺及壶腹周围占位术前评估中的临床作用 |
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引用本文: | 梅俏,张磊,宋育林,王亚雷,陈熙,杨桂芳,许建明,谢惠君,胡乃中.超声内镜在胰腺及壶腹周围占位术前评估中的临床作用[J].肝胆外科杂志,2014(3):175-177. |
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作者姓名: | 梅俏 张磊 宋育林 王亚雷 陈熙 杨桂芳 许建明 谢惠君 胡乃中 |
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作者单位: | 安徽医科大学第一附属医院消化内科,合肥230022 |
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摘 要: | 目的评估超声内镜(EUS)对胰腺及壶腹周围占位的诊断及术前TNM分期的作用。方法回顾性分析34例壶腹部占位患者术前EUS资料,并与术后病理结果比较,评估EUS术前诊断准确性。结果 EUS对胰腺占位病灶显示率92.31%,诊断准确率84.62%,T分期判断准确性为76.92%,N分期判断准确性为53.85%;对壶腹部占位病灶显示率为93.75%,诊断准确率93.75%,T分期判断准确性为62.50%,N分期判断准确性为68.75%。结论 EUS对胰腺及壶腹周围占位的诊断及术前TNM分期具有一定作用。
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关 键 词: | 超声内镜 胰腺肿瘤 壶腹周围肿瘤 |
Clinical effect of endoscopic ultrasonography in the preoperative evaluation of pancreatic and peri-ampullary space-occupying lesions |
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Institution: | MEI Qiao , ZHANG Lei, SONG Yu-lin, et al. (Dept of Gastroenterology, The Frist Affiliated Hospital of Anhui Medical University, Hefei 230022, China. ) |
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Abstract: | Objective To evaluate the clinical effect of endoscopic ultrasonography (EUS) in the diagnosis and preoperative TNM staging of pancreatic and peri-ampullary space-occupying lesions. Methods To evaluate the preoperative diagnostic accuracy of EUS, the clinical data of 34 cases with pancreatic and peri-ampullary space-occupying lesions were analyzed retrospectively and compared with the results of pathologic characters after operation. Results The detection rate of pancreatic space-occupying lesions was 92.31%, the diagnostic accuracy was 84.62% , the accuracy in T and N staging was 76.92% and 53.85% respectively; the detection rate of peri-ampullary space-occupying lesions was 93.75%, the diagnostic accuracy was 93.75%, the accuracy in T and N staging was 62.50% and 68.75% respectively. Conclusion EUS has a certain role in the diagnosis and preoperative TNM staging of pancre- atic and peri-ampullary space-occupying lesions. |
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Keywords: | endoscopic ultrasonography pancreatic neoplasm peri-ampuUary neoplasm |
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