CAJ | 학술논문

目的评估超声内镜在壶腹部肿瘤术前诊断中的价值.方法回顾性分析2010年至2015年间31例诊断壶腹部肿瘤并接受外科手术的患者,全部患者术前行腹部超声、CT、磁共振胰胆管造影(MRCP)及超声内镜检查,比较超声内镜与其他影像检查的术前诊断率及超声内镜术前分期与术后病理分期结果的符合率.结果 31例壶腹部肿瘤患者术前超声内镜评估T分期:uT1有4例,uT2有15例,uT3有10例,uT4有2例.与术后病理分期比较,超声内镜术前评估T分期准确率为:90.3％(28/31),其中分期过高1例,分期过低2例.超声内镜术前诊断率优于其他影像学检查.结论超声内镜对于可疑壶腹部肿瘤患者的术前评估有较高的价值.
목적 평고초성내경재호복부종류술전진단중적개치.방법 회고성분석2010년지2015년간31례진단호복부종류병접수외과수술적환자,전부환자술전행복부초성、CT、자공진이담관조영(MRCP)급초성내경검사,비교초성내경여기타영상검사적술전진단솔급초성내경술전분기여술후병리분기결과적부합솔.결과 31례호복부종류환자술전초성내경평고T분기:uT1유4례,uT2유15례,uT3유10례,uT4유2례.여술후병리분기비교,초성내경술전평고T분기준학솔위:90.3％(28/31),기중분기과고1례,분기과저2례.초성내경술전진단솔우우기타영상학검사.결론 초성내경대우가의호복부종류환자적술전평고유교고적개치.
Objective To evaluate endoscopic ultrasound for preoperative staging of ampullar tumors.Methods A total of 31 patients with ampullar tumors who underwent surgery from 2010 to 2015 were retrospectively reviewed.B-US,CT,MRCP and EUS were performed in all patients.The diagnostic rates of EUS and other imaging technology,and the diagnostic accuracy of preoperative staging and postoperative pathological staging were compared.Results Diagoses of 31 patients of ampullar tumors patients undergoing preoperative endoscopic ultrasonography assessment T staging were as the following:uT1,4 cases; uT2,15 cases; uT3,10 cases; uT4,2 cases.Compared with the postoperative pathological diagnosis,the T staging accuracy was 90.3％ (28/31),anong which 1 case was overestimated,2 cases were underestimated.The accuracy of endoscopic ultrasound in preoperative diagnosis of ampullar lesions was superior to other detection technology.Conclusion EUS is a valuable diagnostic tool for patients with suspected ampullar tumors.