中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2010年
4期
366-368
,共3页
卫金歧%边壮%叶丽华%张百萌
衛金歧%邊壯%葉麗華%張百萌
위금기%변장%협려화%장백맹
胰腺癌%高危评分模型
胰腺癌%高危評分模型
이선암%고위평분모형
Pancreatic cancer%High risk scoring model
目的 探讨胰腺癌高危评分模型的临床应用价值.方法 利用评分模型对我院2006年10月至2009年10月疑诊的75例胰腺癌患者进行前瞻性研究.结果 胰腺癌患者临床三大症状依次为上腹痛55.88%(38/68)、消瘦19.12%(13/68)、黄疸19.12%(13/68).B超、薄层增强CT、内镜逆行胰胆管造影(ERCP)、磁共振胰胆管造影(MRCP)诊断胰腺癌阳性率分别为47.06%(32/68)、88.24%(60/68)、87.88%(29/33)、87.1%(27/31),薄层增强CT与ERCP、MRCP在诊断胰腺癌方面差异无统计学意义,但均优于B超检查(P均<O.05);以胰腺癌高危评分≥27分为标准,则诊断胰腺癌的准确性为86.67%(65/75),手术切除率仅为17.39%(4/23).未能发现早期胰腺癌.结论 胰腺癌高危评分模型诊断胰腺癌有一定的临床应用价值,但在诊断早期胰腺癌方面尚需进一步研究.
目的 探討胰腺癌高危評分模型的臨床應用價值.方法 利用評分模型對我院2006年10月至2009年10月疑診的75例胰腺癌患者進行前瞻性研究.結果 胰腺癌患者臨床三大癥狀依次為上腹痛55.88%(38/68)、消瘦19.12%(13/68)、黃疸19.12%(13/68).B超、薄層增彊CT、內鏡逆行胰膽管造影(ERCP)、磁共振胰膽管造影(MRCP)診斷胰腺癌暘性率分彆為47.06%(32/68)、88.24%(60/68)、87.88%(29/33)、87.1%(27/31),薄層增彊CT與ERCP、MRCP在診斷胰腺癌方麵差異無統計學意義,但均優于B超檢查(P均<O.05);以胰腺癌高危評分≥27分為標準,則診斷胰腺癌的準確性為86.67%(65/75),手術切除率僅為17.39%(4/23).未能髮現早期胰腺癌.結論 胰腺癌高危評分模型診斷胰腺癌有一定的臨床應用價值,但在診斷早期胰腺癌方麵尚需進一步研究.
목적 탐토이선암고위평분모형적림상응용개치.방법 이용평분모형대아원2006년10월지2009년10월의진적75례이선암환자진행전첨성연구.결과 이선암환자림상삼대증상의차위상복통55.88%(38/68)、소수19.12%(13/68)、황달19.12%(13/68).B초、박층증강CT、내경역행이담관조영(ERCP)、자공진이담관조영(MRCP)진단이선암양성솔분별위47.06%(32/68)、88.24%(60/68)、87.88%(29/33)、87.1%(27/31),박층증강CT여ERCP、MRCP재진단이선암방면차이무통계학의의,단균우우B초검사(P균<O.05);이이선암고위평분≥27분위표준,칙진단이선암적준학성위86.67%(65/75),수술절제솔부위17.39%(4/23).미능발현조기이선암.결론 이선암고위평분모형진단이선암유일정적림상응용개치,단재진단조기이선암방면상수진일보연구.
Objective To discuss the clinical value of hish risk scoring model and screening strategy in the diagnosis of pancreatic cancer.Methods 75 cases of suspected pancreatic cancer were studied prospectively with this model from Oct.2006 to Oct.2009.Results Abdominal pain,weight loss and jaundice were the most common symptoms,which was 55.88%(38/68),19.12%(13/68) and 19.12%(13/68) respectively.The positive rates of B type ultrasonography,abdominal spiral CT,ERCP and MRCP in the diagnosis of pancreatic cancer were 47.06% (32/68),88.24%(60/68),87.88%(29/33) and 87.1%(27/31),there was no obvious differences in the abdominal spiral CT,ERCP and MRCP,but better than B type ultrasonography(P<0.05).With a cutoff value of 27 points,the accuarcy of the scoring model were 86.67%(65/75),resectability was only 17.39%(4/23),no early stage pancreatic cancer were inspected.Conclusions The high risk scoring model provides a simple and feasibly way to screen pancreatic cancer,but need study more in the diagnosis of early stage pancreatic cancer.
