超声内镜在消化道早期癌临床诊断中的应用价值

Application Value of Endoscopic Ultrasonography in the Diagnosis of Early Gastrointestinal Carcinoma

目的探讨超声内镜在消化道早期癌临床诊断中的应用价值。方法选取2015年5月—2017年5月我院活检病理提示为消化道早期癌的48例患者为研究对象,所有患者均行常规内镜及超声内镜检查,探讨超声内镜对消化道早期癌的诊断效果。结果超声内镜在食管癌、胃癌及结直肠癌中的诊断准确率均优于常规内镜,差异有统计学意义(P<0.05),术后病理确诊早期癌23例,非早期癌25例,超声内镜诊断早期癌阳性22例,阴性26例,其敏感度、特异度及准确度分别为91.30%、96.00%及93.75%。结论超声内镜在消化道早期癌临床诊断中的敏感度、特异度及准确度均在90%以上,诊断价值较高,可为临床治疗提供重要的参考依据。

Objective To explore the value of endoscopic ultrasonography in the diagnosis of early gastrointestinal carcinoma. Methods 48 cases with early gastrointestinal by carcinoma biopsy pathology from May 2015 to May 2017 were selected and routine endoscopy and endoscopic ultrasonography was taken. The diagnostic effects of endoscopic ultrasonography were discussed. Results In the diagnosis of esophageal cancer, gastric carcinoma and colorectal carcinoma, the accuracy rates of endoscopic ultrasonography were higher than routine endoscopy（P 0.05）. In the 48 cases, there were 23 cases of early carcinoma and 25 cases of non-early carcinoma by postoperative pathology. There were 22 cases of early carcinoma and 26 cases of non-early carcinoma by endoscopic ultrasonography. The sensitivity, specificity and accuracy of endoscopic ultrasonography were 91.30%, 96.00% and 93.75% respectively. Conclusion The sensitivity, specificity and accuracy of endoscopic ultrasonography in gastrointestinal carcinoma were more 90% and it can provide important reference for clinical treatment.