小探头超声内镜对消化道类癌的诊疗价值

Diagnostic value by miniprobe endoscopic ultrasonography for digestive tract carcinoid

目的探讨小探头超声内镜(EUS)对消化道类癌的诊疗价值。方法对普通内镜发现的53例食管和胃肠道隆起病变患者的临床资料进行回顾性分析,对其行EUS检查、病理检查,观察诊断结果。结果消化道类癌以直肠多见;EUS对消化道类癌诊断结果与病理诊断结果总相符率为56.6%(30/53);EUS对消化道类癌诊断的假阳性率为41.2%(21/51),假阴性率为6.3%(2/32)。结论小探头EUS对消化道类癌的诊断及内镜治疗术前判断有一定的临床价值,尤其对直肠类癌的诊断价值更为显著。

Objective To investigate diagnostic value by miniprobe endoscopic ultrasonography（EUS） for digestive tract carcinoid. Methods A retrospective analysis was made on clinical data of 53 patients with esophageal and gastrointestinal protuberant lesions detected by ordinary endoscope. The patients received EUS and pathological examination, and their diagnosis outcomes were observed. Results Digestive tract carcinoid mainly occurred in rectum. Total corresponding rate of EUS diagnosis of digestive tract carcinoid and pathological diagnosis was 56.6%（30/53）. EUS had false positive rate in diagnosis of digestive tract carcinoid as 41.2%（21/51） and false negative rate as 6.3%（2/32）. Conclusion Miniprobe EUS contains certain clinical value in diagnosis of digestive tract carcinoid and preoperative judgment of endoscopic therapy, especially in diagnosis of rectal carcinoid.