摘要
目的评价经内镜逆行胰胆管造影(ERCP)结合胰胆管腔内超声(IDUS)对胰腺癌的诊断价值。方法回顾性分析解放军总医院2001年1月至2006年7月收治的胰腺癌患者127例,其中113例行ERCP检查,113例中16例行IDUS检查,并与122例体表B超(B-US)检查结果对照。结果ERCP的诊断准确率为92.0%(104/113),IDUS为100%(16/16),B-US为81.1%(99/122),ERCP结合IDUS为99.1%(112/113)。ERCP诊断胰腺癌的准确率显著高于B-US,ERCP结合IDUS的诊断准确率明显高于ERCP及B-US(均P<0.05)。结论ERCP在胰腺癌诊断中有重要价值,必要时结合IDUS可以进一步提高诊断的准确性。
Objective To assess evaluation of ERCP combined with IDUS in the diagnosis of pancreatic carcinoma. Methods A total of 127 pancreatic carcinoma patients were analyzed retrospectively to compare the results of ERCP with those of intraductal uhrasonography and B-US. Results The accuracy of ERCP was higher than B-US. The accuracy of ERCP combined with IDUS was higher than ERCP and B-US. The diagnostic accuracies of ERCP, B-US, IDUS and ERCP combined with IDUS were 92. 0% ,81.1%, 100. 0% and 99. 1%, respectived. Conclusion ERCP is an effective technique in the diagnosis of pancreatic carcinoma. EILCP combined with IDUS can evaluate the diagnostic accuracy.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2008年第3期197-199,共3页
Chinese Journal of Practical Internal Medicine