CAJ | 학술논문

目的：结合手术后病理结果探讨经直肠腔内超声（endorectal ultrasonography ，ERUS）与超声内镜（ endoscopic ultrasonography ，EUS）对直肠癌术前T 分期的诊断价值。方法收录自2011年5月至2012年5月山东省千佛山医院收治的符合本研究纳入标准的35例直肠肿瘤患者，进行ERUS和EUS检查和分期，与术后的病理结果进行对比研究，采用χ2检验分析所得数据。结果 ERUS对直肠癌T分期的准确度为91．4％，EUS对直肠癌T分期的准确度为71．4％，经ERUS的诊断结论较EUS的诊断结论具有显著的差异（χ2＝4．000，P＜0．05），ERUS对T分期的准确度明显高于 EUS。结论 ERUS较EUS有更高的实用价值，可以作为直肠癌术前T分期评估的首选检查方法。
목적：결합수술후병리결과탐토경직장강내초성（endorectal ultrasonography ，ERUS）여초성내경（ endoscopic ultrasonography ，EUS）대직장암술전T 분기적진단개치。방법수록자2011년5월지2012년5월산동성천불산의원수치적부합본연구납입표준적35례직장종류환자，진행ERUS화EUS검사화분기，여술후적병리결과진행대비연구，채용χ2검험분석소득수거。결과 ERUS대직장암T분기적준학도위91．4％，EUS대직장암T분기적준학도위71．4％，경ERUS적진단결론교EUS적진단결론구유현저적차이（χ2＝4．000，P＜0．05），ERUS대T분기적준학도명현고우 EUS。결론 ERUS교EUS유경고적실용개치，가이작위직장암술전T분기평고적수선검사방법。
Objective To compare the accuracy of ERUS and EUS in predicting the preoperative T staging of rectal cancer .Methods 35 patients with rectal cancer being treated in Qian foshan hospital from May 2011 to May 2012 were involved into this study .ERUS and EUS were performed to obtain the staging for each of the patients .The accuracy of the results were examed by the postoperative pathologic examination .The datas were tested with χ2-test.Results The accuracy of ERUS in T staging was 91.4%,while the EUS was 71.4%.ERUS showed significant higher accuracy than EUS .(χ2=4.000,P<0.05).Conclusions ERUS and EUS are indispensable in predicting the invasive depth of rectal cancer .ERUS should be the first choice for preoperative T staging in rectal cancer .