CAJ | 학술논문

目的：判断超声内镜（ EUS）在食管癌术前TN分期与术后病理检查的一致性。方法回顾分析286例食管癌手术患者术前EUS检查结果和术后病理资料，所有患者均经电子胃镜＋活体组织病理检查确诊，将EUS分期与术后病理分期进行比较。结果 EUS T分期的灵敏度为87.76%，N分期的灵敏度为89.16%，T分期的准确率为87.76%，N分期的准确率为89.16%，T分期Kappa值为0.575，TN分期Kappa值为0.606，一致性为基本满意。N分期Kappa值为0.78，一致性为相当满意，P﹤0.01。结论 EUS对食管癌术前T、N分期诊断准确率较高，有助于临床医生合理选择食管癌治疗方案。
목적：판단초성내경（ EUS）재식관암술전TN분기여술후병리검사적일치성。방법회고분석286례식관암수술환자술전EUS검사결과화술후병리자료，소유환자균경전자위경＋활체조직병리검사학진，장EUS분기여술후병리분기진행비교。결과 EUS T분기적령민도위87.76%，N분기적령민도위89.16%，T분기적준학솔위87.76%，N분기적준학솔위89.16%，T분기Kappa치위0.575，TN분기Kappa치위0.606，일치성위기본만의。N분기Kappa치위0.78，일치성위상당만의，P﹤0.01。결론 EUS대식관암술전T、N분기진단준학솔교고，유조우림상의생합리선택식관암치료방안。
Objective To determine the concordance of endoscopic ultrasonography(EUS)and pathological diagnosis in TN staging for esophageal cancer. Methods Preoperative EUS data and postop-erative pathological data of 286 surgical patients with esophageal cancer were reviewed retrospectively. The diagnosis was confirmed by electronic gastroscopy and pathological biopsy. TN staging based on EUS and pathology was compared for analysis. Results The sensitivity of EUS was 87. 76% on T stage and 89. 16%on N stage. The accuracy of EUS was 87. 76% on T stage and 89. 16% on N stage. The Kappa value of T stage was 0. 575,the Kappa value of N stage was 0. 78,and the Kappa value of TN stage was 0. 418. The concordance was satisfactory. Conclusion EUS is accurate in preoperative TN staging of esophageal cancer,and it may help clinicians select appropriate treatment.