| 超声内镜诊断胆管恶性狭窄13例 |
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| 引用本文： | 李大勇,秦鸣放,王震宇.超声内镜诊断胆管恶性狭窄13例[J].世界华人消化杂志,2011(25). |
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| 作者姓名： | 李大勇 秦鸣放 王震宇 |
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| 作者单位： | 天津医科大学研究生院;天津市南开医院微创外科; |
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| 摘 要： | 目的:比较超声内镜(EUS)、内镜下逆行胰胆管造影术(ERCP)及磁共振胰胆管成像(MRCP)在诊断胆管恶性狭窄中的临床价值.方法:回顾性分析2008-01/2010-05天津市南开医院76例胆管恶性狭窄患者的EUS、ERCP、MRCP检查结果,比较敏感性、特异性、阳性预测值、阴性预测值及准确率.结果:EUS诊断胆管恶性狭窄敏感性(94.2%vs78.5%)、特异性(84.6%vs57.1%)、阳性预测值(89.1%vs64.5%)、阴性预测值(73.3%vs41.3%)、准确率(91.6%vs71.6%)均明显高于MRCP.EUS诊断胆管恶性狭窄敏感性(94.2%vs80.5%)、特异性(84.6%vs68.4%)、准确性(91.6%vs71.6%)明显优于ERCP.结论:EUS诊断胆管恶性狭窄,具有敏感性、特异性及准确性高的优势.
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| 关 键 词： | 超声内镜 胆管恶性狭窄 内镜下逆行胰胆管造影术 磁共振胰胆管成像 |
EUS for diagnosis of malignant biliary stricture: an analysis of 13 cases |
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| Da-Yong Li,Graduate School of Tianjin Medical University,Tianjin ,China Ming-Fang Qin,Zhen-Yu Wang,Center for Minimally Invasive Surgery,Nankai Hospital,Tianjin ,China.EUS for diagnosis of malignant biliary stricture: an analysis of 13 cases[J].World Chinese Journal of Digestology,2011(25). |
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| Authors: | Da-Yong Li Graduate School of Tianjin Medical University Tianjin China Ming-Fang Qin Zhen-Yu Wang Center for Minimally Invasive Surgery Nankai Hospital Tianjin China |
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| Institution: | Da-Yong Li,Graduate School of Tianjin Medical University,Tianjin 300070,China Ming-Fang Qin,Zhen-Yu Wang,Center for Minimally Invasive Surgery,Nankai Hospital,Tianjin 300100,China |
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| Abstract: | AIM: To compare the clinical value of endoscopic ultrasonography (EUS), endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) in the diagnosis of malignant biliary stricture. METHODS: The imaging data for 76 patients with malignant biliary stricture who underwent EUS, ERCP or MRCP from January 2008 to May 2010 were retrospectively analyzed. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of each test were ... |
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| Keywords: | Endoscopic ultrasonography Malignant biliary stricture Endoscopic retrograde cholangiopancreatography Magnetic resonance cholangiopancreatography |
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