超声内镜在胰腺占位性疾病诊断中的价值

吴斌; 沈亦钰; 陈徐艰; 钟海; 王晓光; 宋政炜; 钟征翔

doi:10.3969/j.issn.1001-5256.2018.08.026

超声内镜在胰腺占位性疾病诊断中的价值

DOI: 10.3969/j.issn.1001-5256.2018.08.026

嘉兴学院附属第二医院肝胆胰外科

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中图分类号: R735.9
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出版历程
- 收稿日期: 2018-01-11
- 出版日期: 2018-08-20

Value of endoscopic ultrasonography in diagnosis of pancreatic space-occupying diseases

Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospital of Jiaxing College

摘要

摘要: 目的探讨超声内镜（EUS）检查在胰腺占位性疾病中的应用价值。方法纳入2015年1月-2017年1月嘉兴学院附属第二医院诊治的可疑胰腺占位性疾病患者85例,以手术病理或随访结果作为金标准,评价EUS及EUS引导下穿刺活组织检查（EUS-FNA）在胰腺占位的应用价值。计数资料组间比较采用配对样本χ2检验。结果 EUS对胰腺占位的影像学检出率为96.7%（59/61）,特异度为100%（24/24）,准确率为97.6%（83/85）;EUS在检出率和准确率上均明显优于腹部B超、CT和MRI（检出率:χ2=4.344、3.873、15.445;准确率:χ2=6.675、8.685、17.389,P值均<0.05）。EUS-FNA对肿瘤性占位的检出率和准确率分别为81.8%（45/55）、81.0%（47/58）。在手术明确病理的患者中,术前EUS-FNA检查的总体符合率为84.2%（16/19）。结论EUS较常规影像学检查对于胰腺占位具有更高的影像学准确率,EUS-FNA可进一步明确占位性质、病理类型,EUS可为胰腺肿瘤的...
- 超声内镜 /
- 胰腺肿瘤 /
- 活组织检查,针吸 /
- 诊断
Abstract: Objective To investigate the value of endoscopic ultrasonography ( EUS) in the diagnosis of pancreatic space-occupying diseases. Methods A total of 85 patients with suspected pancreatic space-occupying diseases who were treated in The Second Affiliated Hospital of Jiaxing College from January 2015 to January 2017 were enrolled. Surgical pathological results or follow-up results were used as the gold standard for evaluating the value of EUS and EUS-guided fine needle aspiration ( EUS-FNA) in the diagnosis of pancreatic space-occupying diseases. The chi-square test was used for comparison of categorical data between groups. Results EUS had an imaging detection rate of 96. 7% ( 59/61) , a specificity of 100% ( 24/24) , and an accuracy rate of 97. 6% ( 83/85) in the diagnosis of pancreatic space-occupying diseases; EUS had significantly higher detection rate and accuracy rate than abdominal ultrasound, computed tomography, and magnetic resonance imaging ( detection rate: χ2= 4. 344, 3. 873, and 15. 445, all P < 0. 05; accuracy rate: χ2= 6. 675, 8. 685, and 17. 389, all P <0. 05) . EUS-FNA had a detection rate of 81. 8% ( 45/55) and an accuracy rate of 81. 0% ( 47/58) . Among the patients who underwent surgery to have pathological results, the overall coincidence rate of preoperative EUS-FNA was 84. 2% ( 16/19) . Conclusion Compared with conventional imaging examinations, EUS has a higher diagnostic accuracy for pancreatic space-occupying diseases, and EUS-FNA can further clarify the nature and pathological type of space-occupying lesions. EUS may help with the early diagnosis and treatment of pancreatic tumors.
- endoscopic ultrasonography /
- pancreatic neoplasms /
- biopsy, needle /
- dignosis

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参考文献(13)

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