| 超声内镜医师诊断胰腺囊性病变的一致性分析 |
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| 引用本文： | 李素文,梅俏,张磊,王亚雷,宋育林,陈熙,许建明. 超声内镜医师诊断胰腺囊性病变的一致性分析[J]. 安徽医药, 2017, 38(6): 693-695 |
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| 作者姓名： | 李素文 梅俏 张磊 王亚雷 宋育林 陈熙 许建明 |
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| 作者单位： | 230022 合肥 安徽医科大学第四附属医院消化内科;230022 合肥 安徽医科大学第一附属医院消化内科,230022 合肥 安徽医科大学第四附属医院消化内科,230022 合肥 安徽医科大学第四附属医院消化内科,230022 合肥 安徽医科大学第四附属医院消化内科,230022 合肥 安徽医科大学第四附属医院消化内科,230022 合肥 安徽医科大学第四附属医院消化内科,230022 合肥 安徽医科大学第四附属医院消化内科 |
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| 基金项目： | 安徽省教育厅高等学校省级质量工程教学研究项目课题（项目编号：2015jyxm770）,安徽医科大学校科研基金（项目编号：2015xkj047） |
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| 摘 要： | 目的 探讨胰腺囊性病变超声内镜（EUS）形态学特点在不同EUS医师之间的一致性。方法 回顾性分析安徽医科大学第一附属医院2011年11月至2014年12月诊治的24例胰腺囊性病变患者EUS图像,2位EUS医师分析图像中是否存在间隔、固体成分和淋巴结肿大等特点。结果 2位EUS医师分析是否有固体成分的一致性较好（Kappa=0.647）。分析间隔、壁结节、边缘钙化、主胰管扩张、淋巴结肿大以及囊性病变数量方面一致性中等。结论 不同EUS医师分析胰腺囊性病变EUS图像,存在主观差异。
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| 关 键 词： | 超声内镜 胰腺 肿瘤 |
| 收稿时间： | 2016-11-14 |
Interobserver agreement of endoscopic ultrasonography for pancreatic cystic lesions |
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| LI Suwen,MEI Qiao,ZHANG Lei. Interobserver agreement of endoscopic ultrasonography for pancreatic cystic lesions[J]. Anhui Medical and Pharmaceutical Journal, 2017, 38(6): 693-695 |
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| Authors: | LI Suwen MEI Qiao ZHANG Lei |
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| Affiliation: | Department of Gastroenterology, the Fourth Affiliated Hospital of Anhui Medical University, Hefei 230022, China,Department of Gastroenterology, the Fourth Affiliated Hospital of Anhui Medical University, Hefei 230022, China,Department of Gastroenterology, the Fourth Affiliated Hospital of Anhui Medical University, Hefei 230022, China,Department of Gastroenterology, the Fourth Affiliated Hospital of Anhui Medical University, Hefei 230022, China,Department of Gastroenterology, the Fourth Affiliated Hospital of Anhui Medical University, Hefei 230022, China,Department of Gastroenterology, the Fourth Affiliated Hospital of Anhui Medical University, Hefei 230022, China and Department of Gastroenterology, the Fourth Affiliated Hospital of Anhui Medical University, Hefei 230022, China |
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| Abstract: | Objective To evaluate the degree of inter-observer agreement between endosonographers for distinguishing EUS morphologic features of pancreatic cystic lesions. Methods From Nov 2011to Dec 2014, 24 cases of pancreatic cystic lesions were evaluated by EUS. The original endosonographic images were reviewed by two endosonographers. The EUS images were assessed for the presence or absence of the following morphologic characteristics: septae, solid component, lymphadenopathy, etc. Results There was substantial agreement between the two reviewers in interpreting the presence or absence of solid component (Kappa=0.647). The presence or absence of a septae, mural nodule, peripheral calcification, main pancreatic duct dilation, lymphadenopathy and number of cysts showed moderate reliability between the two readers. Conclusion A great deal of subjectivity is foundin describing EUS features. |
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| Keywords: | Endoscopic ultrasonography Pancreas Neoplasm |
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