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超声诊断在结肠癌术前分期中的临床应用
引用本文:周平红 姚礼庆 何国杰. 超声诊断在结肠癌术前分期中的临床应用[J]. 中国内镜杂志, 2005, 11(Z1): 10-13
作者姓名:周平红 姚礼庆 何国杰
作者单位:ZHOU Ping-hong(Department of General Surgery, Zhongshan Hospital,Fudan University,Shanghai 200032 ,P. R. China) YAO Li-qing(Department of General Surgery, Zhongshan Hospital,Fudan University,Shanghai 200032 ,P. R. China) HE Guo-jie(Department of General Surgery, Zhongshan Hospital,Fudan University,Shanghai 200032 ,P. R. China) GAO Wei-dong(Department of General Surgery, Zhongshan Hospital,Fudan University,Shanghai 200032 ,P. R. China) QIN Xin-yu(Department of General Surgery, Zhongshan Hospital,Fudan University,Shanghai 200032 ,P. R. China)
摘    要:


Clinical application of ultrasonic probing for preoperative staging of colorectal carcinoma
Abstract:[ Objective]The aim of this study was to assess the value of ultrasonic probe (USP) under colonoscope in the preoperative staging of colorectal carcinoma. [ Methods]75 patients with colorectal carcinomas proven pathologically were given USP (Olympus UM-2R, 12MHz; UM -3R, 20 MHz) under colonoscope before operation. The results were compared with histopathologic findings of resected specimens. [ Results] Colorectal carcinoma appeared as a hypoechoic mass under USP. USP had an overall accuracy rate of 82.7% in the diagnosis of T staging of colorectal carcinoma. In determining lymph node metastasis , the sensitivity and specificity were 53.2% and 61.5%, the positive predictive value and the negative predictive value were 0.87 and 0. 22, respectively. [ Conclusions ] USP is valuable for the staging of colorectal carcinoma and has a high accuracy rate in determining the depth of tumor invasion. The preoperative information obtained by this tool may influence the choice of therapy.
Keywords:USP  colonoscope  carcinoma
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