摘要
目的分析术前超声内镜引导下细针穿刺(EUS-FNA)对切除胰腺癌患者的诊断安全性及准确性。方法回顾性分析该院在2013年6月至2016年6月内收治的42例可切除胰腺癌患者的临床资料。其中30例术前实施EUS-FNA设置为观察组,另12例术前未实施EUS-FNA设置为对照组。对观察组和对照组的检查结果、安全性及准确性进行收集和分析。结果观察组中患者均成功穿刺,诊断准确率为96.67%(29/30),明显高于对照组的83.33%(10/12)。观察组生存时间(569.96±24.75)d和对照组生存时间(571.93±23.49)d差异无统计学意义(P>0.05)。观察组仅出现1例出血,但在实施针对性治疗后治愈,并未出现其他严重并发症。观察组并发症率(3.33%)和对照组(0%)比较差异无统计学意义(P>0.05)。结论在对胰腺癌患者诊断时,EUS-FNA可在保证治疗效果和安全性的前提下,取得较好临床诊断效果。
Objective To analyze the safety and accuracy of preoperative endoscopic ultrasonography guided fine needle aspiration(EUS-FNA)in the diagnosis of pancreatic cancer.Methods The clinical data of 42 patients with resectable pancreatic cancer treated in this hospital from June 2013 to June 2016 were retrospectively analyzed.Among them,30 cases received preoperative EUS-FNA and served as the observation group.The other 12 cases without conducting EUS-FNA before operation served as the control group.The examination results,safety and accuracy of the observation group and the control group were collected and analyzed.Results The cases in the observation group were successfully punctured,and the diagnostic accuracy rate was 96.67%(29/30),which was significantly higher than 83.33%(10/12)in the control group.The survival time was(569.96±24.75)d in the observation group and(571.93±23.49)d in the control group,the difference was not statistically significant(P>0.05).Only 1 case of bleeding occurred in the observation group,and was cured after targeted treatment without other serious complications occurrence.The complication rate of the observation group was 3.33%and that of the control group was 0%,the difference was not statistically significant(P>0.05).Conclusion In the diagnosis of the patients with pancreatic cancer,EUS-FNA can achieve good clinical effect under the premise of ensuring the efficacy and safety.
作者
李洪焱
李健
王敏
LI Hongyan;LI Jian;WANG Min(Department of Gastroenterology,Nanchuan District People′s Hospital,Chongqing 408400,China)
出处
《重庆医学》
CAS
2018年第21期2819-2821,共3页
Chongqing medicine
基金
重庆市南川区科委重点基金资助项目(Cx201414)
关键词
胰腺肿瘤
超声内镜引导下细针穿刺
诊断
安全性
准确性
pancreatic neoplasms
endoscopic ultrasonography guided fine needle aspiration
diagnosis
safety
accuracy
