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超声内镜检查对胰腺癌及其临床分期的诊断价值

Diagnostic value of endoscopic ultrasonography in pancreatic cancer and its clinical staging
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摘要 目的 探讨超声内镜检查对胰腺癌及其临床分期的诊断价值。方法 选取124例胰腺癌患者,术前均行常规超声及超声内镜检查。以病理检查结果为金标准,比较常规超声与超声内镜检查对胰腺癌的诊断价值;分析常规超声与超声内镜对胰腺癌T、N分期的诊断价值;分析常规超声与超声内镜对不同肿瘤直径胰腺癌的诊断价值。结果 超声内镜检查诊断胰腺癌的符合率为95.16%,明显高于常规超声检查的70.16%,差异有统计学意义(P﹤0.01)。超声内镜检查诊断胰腺癌T分期的符合率为81.45%,与病理结果的一致性良好(Kappa=0.785);常规超声检查诊断胰腺癌T分期的符合率为56.45%,与病理检查结果的一致性一般(Kappa=0.537);超声内镜检查诊断胰腺癌T分期符合率明显高于常规超声检查,差异有统计学意义(P﹤0.01)。超声内镜检查诊断胰腺癌N分期的符合率为72.58%,与病理结果的一致性良好(Kappa=0.756);常规超声检查诊断胰腺癌N分期的符合率为55.65%,与病理检查结果的一致性一般(Kappa=0.556);超声内镜检查诊断胰腺癌N分期的符合率明显高于常规超声检查(P﹤0.01)。超声内镜检查诊断直径≤2 cm胰腺癌的符合率为88.89%,明显高于常规超声检查的51.85%,差异有统计学意义(P﹤0.01)。结论 超声内镜检查在胰腺癌早期诊断、临床分期评估中具有一定价值,可为临床诊治提供可靠依据。 Objective To explore the diagnostic value of endoscopic ultrasonography in pancreatic cancer and its clinical staging.Method A total of 124 patients with pancreatic cancer were examined by routine ultrasonography and endoscopic ultrasonography before operation.The value of routine ultrasonography and endoscopic ultrasonography in the diagnosis of pancreatic cancer were compared based on the results of pathological examination.To analyze the diagnostic value of routine ultrasonography and endoscopic ultrasonography in T and N staging of pancreatic cancer.To analyze the diagnostic value of routine ultrasonography and endoscopic ultrasonography in pancreatic cancer with different tumor diameters.Result The coincidence rate of endoscopic ultrasonography in the diagnosis of pancreatic cancer was 95.16%,which was significantly higher than 70.16%of conventional ultrasonography(P<0.01).The coincidence rate of endoscopic ultrasonography in T staging of pancreatic cancer was 81.45%,which was in good agreement with the pathological results(Kappa=0.785).The coincidence rate of routine ultrasonography in the diagnosis of T stage of pancreatic cancer was 56.45%,which was generally consistent with the pathological findings(Kappa=0.537).The coincidence rate of endoscopic ultrasonography in the diagnosis of T staging of pancreatic cancer was significantly higher than that of routine ultraso-nography(P<0.01).The coincidence rate of endoscopic ultrasonography in the diagnosis of N stage of pancreatic cancer was 72.58%,which was in good agreement with the pathological results(Kappa=0.756).The coincidence rate of N stage of pancreatic cancer diagnosed by routine ultrasonography was 55.65%,which was generally consistent with the pathological findings(Kappa=0.556).The coincidence rate of endoscopic ultrasonography in the diagnosis of N stage of pancreatic cancer was significantly higher than that of routine ultrasonography(P<0.05).The coincidence rate of endoscopic ultrasonography in the diagnosis of pancreatic cancer with diameter≤2 cm was 88.89%,which was significantly higher than 51.85%of routine ultrasonography(P<0.01).Conclusion Endoscopic ultrasonography has certain value in early diagnosis and clinical staging evaluation of pancreatic cancer,and can provide reliable basis for clinical diagnosis and treatment.
作者 闫赵斌 李明彦 李振华 聂山文 饶鹏鹏 YAN Zhaobin;LI Mingyan;LI Zhenhua;NIE Shanwen;RAO Pengpeng(Department of Gastroenterology,He’nan Provincial Hospital of Traditional Chinese Medicine(the Second Affiliated Hospital of He’nan University of Traditional Chinese Medicine),Zhengzhou 450000,He’nan,China)
出处 《癌症进展》 2023年第15期1684-1686,1701,共4页 Oncology Progress
关键词 超声内镜 胰腺癌 临床分期 早期诊断 endoscopic ultrasonography pancreatic cancer clinical staging early diagnosis
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