中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2013年
8期
433-436
,共4页
覃山羽%姜海行%李萍%韦柳萍%唐国都%黄杰安%张湘莲%陈志敏
覃山羽%薑海行%李萍%韋柳萍%唐國都%黃傑安%張湘蓮%陳誌敏
담산우%강해행%리평%위류평%당국도%황걸안%장상련%진지민
活组织检查,细针%内窥镜超声检查%细胞学技术%胰腺肿瘤
活組織檢查,細針%內窺鏡超聲檢查%細胞學技術%胰腺腫瘤
활조직검사,세침%내규경초성검사%세포학기술%이선종류
Biopsy,Fine-needle%Endoscopic ultrasonography%Cytological techniques%Pancreatic neoplasms
目的 探讨超声内镜引导下细针穿刺活检术(EUS-FNA)及细胞块对胰腺囊性病变的诊断价值.方法 回顾性分析2010年1月至2012年12月行传统影像学检查(CT、MRI、B超)、EUS-FNA的15例胰腺囊性病变的临床资料,其中8例行液基细胞学(LBC)、细胞块检查.同时,比较4种检查技术在胰腺囊性病变中的诊断价值.结果 假性囊肿7例,黏液性囊腺瘤2例,胰腺导管内乳头状黏液瘤(IPMN)1例,胰腺癌3例,囊腺癌2例.传统影像学、EUS-FNA、LBC、细胞块的诊断正确率为53.3％、86.7％、75.0％、100.0％,差异有统计学意义(P＜0.05).EUS-FNA较单纯传统影像学的灵敏度、特异度、约登指数均高(86.7％、75.0％、0.62与53.3％、58.3％、0.12),细胞块较LBC灵敏度高(100.0％与75.0％).结论 EUS-FNA及细胞块可提高诊断胰腺囊性病变的准确率.
目的 探討超聲內鏡引導下細針穿刺活檢術(EUS-FNA)及細胞塊對胰腺囊性病變的診斷價值.方法 迴顧性分析2010年1月至2012年12月行傳統影像學檢查(CT、MRI、B超)、EUS-FNA的15例胰腺囊性病變的臨床資料,其中8例行液基細胞學(LBC)、細胞塊檢查.同時,比較4種檢查技術在胰腺囊性病變中的診斷價值.結果 假性囊腫7例,黏液性囊腺瘤2例,胰腺導管內乳頭狀黏液瘤(IPMN)1例,胰腺癌3例,囊腺癌2例.傳統影像學、EUS-FNA、LBC、細胞塊的診斷正確率為53.3％、86.7％、75.0％、100.0％,差異有統計學意義(P＜0.05).EUS-FNA較單純傳統影像學的靈敏度、特異度、約登指數均高(86.7％、75.0％、0.62與53.3％、58.3％、0.12),細胞塊較LBC靈敏度高(100.0％與75.0％).結論 EUS-FNA及細胞塊可提高診斷胰腺囊性病變的準確率.
목적 탐토초성내경인도하세침천자활검술(EUS-FNA)급세포괴대이선낭성병변적진단개치.방법 회고성분석2010년1월지2012년12월행전통영상학검사(CT、MRI、B초)、EUS-FNA적15례이선낭성병변적림상자료,기중8례행액기세포학(LBC)、세포괴검사.동시,비교4충검사기술재이선낭성병변중적진단개치.결과 가성낭종7례,점액성낭선류2례,이선도관내유두상점액류(IPMN)1례,이선암3례,낭선암2례.전통영상학、EUS-FNA、LBC、세포괴적진단정학솔위53.3％、86.7％、75.0％、100.0％,차이유통계학의의(P＜0.05).EUS-FNA교단순전통영상학적령민도、특이도、약등지수균고(86.7％、75.0％、0.62여53.3％、58.3％、0.12),세포괴교LBC령민도고(100.0％여75.0％).결론 EUS-FNA급세포괴가제고진단이선낭성병변적준학솔.
Objective To investigate the diagnostic value of endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA) and cell blocks for cystic pancreatic lesions.Methods Clinical data of 15patients with cystic pancreatic lesions who underwent EUS-FNA from January 2010 to December 2012,in which 8 patients accepted the examination of liquid-based cytology (LBC) and cell blocks,were retrospectively reviewed.The patients also accepted CT,MRI and B-ultrasound before EUS-FNA,and the results of 4 examinations were compared.Results Among 15 cystic pancreatic lesions,there were 7 cases of pancreatic pseudocyst,2 cases of mucinous cyst adenoma,1 case of intraductal papillary mucinous neoplasm (IPMN),3 cases of pancreatic cancer and 2 cases of cyst adenocarcinoma.The diagnostic accuracy of traditional imaging tests,EUS-FNA,LBC,cell blocks were 53.3％,86.7％,75.0％ and 100.0％ respectively (P ＜ 0.05).Compared with traditional imaging tests,the sensitivity,specificity,Youden index of EUSFNA were higher (86.7％,75.0％ and 0.62 vs.53.3％,58.3％ and 0.12).The sensitivity of cell blocks examination was higher than that of LBC (100.0％ vs.75.0％).Conclusion EUS-FNA and the examination of cell blocks can improve the diagnostic accuracy of pancreatic cystic lesions.
