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内镜超声检查对胰腺癌进展程度的评估 被引量:1

Value of Endoscopic Ultrasonography in Assessing the Degree of Invasion in Pancreatic Carcinoma.
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摘要 目的:正确诊断胰腺癌对周围脏器的侵犯程度。方法:在180例经超声内镜(EUS)诊断的胰腺癌中,分析60例同时具有病理学、体外B超(US)、CT和ERCP检查的60例病人。比较以上4种影像学检查方法对胰腺癌7种进展程度指标(胰前方被膜侵犯、胰后方组织侵犯、胆总管胰段侵犯、十二指肠侵犯、门静脉侵犯、动脉侵犯及局部淋巴结转移)的诊断正确率。结果:EUS诊断准确率分别达89%,90%,82%,71%,76%,86%,75%,均高于US、CT和ERCP,其中ERCP仅能显示胆总管胰段,但其诊断胆总管胰段侵犯正确率与EUS相当(80%)。结论:EUS对胰腺癌进展程度的诊断有较大价值。 To assess the value of different methods in evaluating the degree of invasion of pan- creatic carcinoma to adjacent tissues and organs. Methods: Among 180 cases of pancreatic carcinoma detected by endoscopic ultrasonography(EUS), 60 cases possessed simultaneous data provided by US, CT and ERCP. The relative accuracy of the 4 imaging methods (EUS, US, CT and ERCP) in assessing the 7 parameters(serosal invasion, S; retroperitoneal invasion, rp; invasion to the intrapancreatic seg- ment of the common bile duct, Ch; invasion to the duodenal wall, D; invasion to the portal venous sy- stem, PV; invasion to artery, A and lymph nodes metastasis, N) was studied. Results: EUS provided a higher accuracy(89%, 90%, 82%, 71%, 76%, 86%, 75%, respectively) than the other 3 methods. ERCP could only demonstrate the intrapancreatic segment of the common bile duct, and its accuracy in this respect was similar to that of EUS(80%). Conclusions: EUS is the method of choice in evaluating the degree of invasion in pancreatic carcinoma.
出处 《外科理论与实践》 2001年第2期85-86,99,共3页 Journal of Surgery Concepts & Practice
关键词 内镜超声检查术 胰腺肿瘤 诊断 EUS Endoscopic ultrasonography Pancreas Neoplasms Diagnosis
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同被引文献10

  • 1Michael L, Kochman. EUS in pancreatic. cancer. Gastrointest Endosc, 2002,56:6-9.
  • 2Kahl S,Glasbrenner B,Leodolter A,et al. EUS in the diagnosis of early chronic pancreatitis: a prospective follow-up study.Gastrointest Endosc, 2002,55: 507-511.
  • 3Ahmad NA, Lewis JD, Siegelman ES,et al. Role of endoscopic ultrasound and magnetic resonance imaging in the preoperative staging of pancreatic adenocarcinoma. Am J Gastroenterol,2000,95 : 1926-1931.
  • 4Pfau PR, Chak A. Endoscopic ultrasonography. Endoscopy,2002,34:21-28.
  • 5Rosch T, Braig C, Gain T, et al. Staging of pancreatic and ampullary carcinoma by endoscopic ultrasonography.Comparison with conventional sonography, computed tomography, and angiography. Gastroenterology, 1992, 102:188-199.
  • 6Gress F, Savides T, Cummings O,et al. Radial scanning and linear array endosonography for staging pancreatic cancer, a prospective randomized comparison. Gastrointest Endosc,1997,45:138-142.
  • 7金震东,潘雪,李兆申,许国铭.多种影像学检查对胰腺癌的诊断价值[J].中国医学影像技术,2001,17(2):97-98. 被引量:14
  • 8李兆申.胰腺疾病内镜诊断与治疗现状[J].中华消化内镜杂志,2001,18(2):69-70. 被引量:9
  • 9金震东,许国铭,邹晓平,李兆申.内镜超声检查术对胰腺癌病情及分期的诊断价值[J].中国医学影像技术,2001,17(9):856-857. 被引量:5
  • 10谢晓燕,吕明德,崔毅,李初俊,徐作峰,梁力建.壶腹周围病变超声内镜诊断价值的探讨[J].中国现代手术学杂志,2002,6(3):189-192. 被引量:5

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