中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2015年
9期
79-81,82
,共4页
食管癌%内镜超声%术前诊断%临床分期
食管癌%內鏡超聲%術前診斷%臨床分期
식관암%내경초성%술전진단%림상분기
Esophageal cancer%Endoscopic ultrasonography%Preoperative diagnosis%Clinical staging
目的：探讨食管内镜超声(EUS)检查术对食管癌术前诊断和临床分期的应用价值。方法：按照国际抗癌联盟(UICC)和美国肿瘤联合会(AJCC)联合制定的TNM分期标准，使用EUS对经胃镜检查+活检确诊的45例食管癌患者术前进行诊断和临床分期，并与术后病理结果进行比较。结果：45例患者均出现食管癌EUS影像特征，术前EUS对45例食管癌患者术前的诊断准确率为100%；临床分期以术后组织病理检验结果作为依据，术前EUS对食管癌T分期总诊断准确率为82.2%，T1、T2、T3及T4各分期的诊断准确率分别为85.7%、83.3%、82.4%及77.8%；对N分期总诊断准确率为77.8%，N0和N1各分期的诊断准确率分别为80.0%和76.0%。结论：EUS对食管癌患者术前诊断准确率较高，在术前对食管癌患者的T分期、N分期的诊断准确率较高，可将其作为食管癌术前治疗方法选择及预后评估的重要依据，临床应用价值较高。
目的：探討食管內鏡超聲(EUS)檢查術對食管癌術前診斷和臨床分期的應用價值。方法：按照國際抗癌聯盟(UICC)和美國腫瘤聯閤會(AJCC)聯閤製定的TNM分期標準，使用EUS對經胃鏡檢查+活檢確診的45例食管癌患者術前進行診斷和臨床分期，併與術後病理結果進行比較。結果：45例患者均齣現食管癌EUS影像特徵，術前EUS對45例食管癌患者術前的診斷準確率為100%；臨床分期以術後組織病理檢驗結果作為依據，術前EUS對食管癌T分期總診斷準確率為82.2%，T1、T2、T3及T4各分期的診斷準確率分彆為85.7%、83.3%、82.4%及77.8%；對N分期總診斷準確率為77.8%，N0和N1各分期的診斷準確率分彆為80.0%和76.0%。結論：EUS對食管癌患者術前診斷準確率較高，在術前對食管癌患者的T分期、N分期的診斷準確率較高，可將其作為食管癌術前治療方法選擇及預後評估的重要依據，臨床應用價值較高。
목적：탐토식관내경초성(EUS)검사술대식관암술전진단화림상분기적응용개치。방법：안조국제항암련맹(UICC)화미국종류연합회(AJCC)연합제정적TNM분기표준，사용EUS대경위경검사+활검학진적45례식관암환자술전진행진단화림상분기，병여술후병리결과진행비교。결과：45례환자균출현식관암EUS영상특정，술전EUS대45례식관암환자술전적진단준학솔위100%；림상분기이술후조직병리검험결과작위의거，술전EUS대식관암T분기총진단준학솔위82.2%，T1、T2、T3급T4각분기적진단준학솔분별위85.7%、83.3%、82.4%급77.8%；대N분기총진단준학솔위77.8%，N0화N1각분기적진단준학솔분별위80.0%화76.0%。결론：EUS대식관암환자술전진단준학솔교고，재술전대식관암환자적T분기、N분기적진단준학솔교고，가장기작위식관암술전치료방법선택급예후평고적중요의거，림상응용개치교고。
Objective:To explore the application value of endoscopic ultrasonography (EUS) on preoperative diagnosis and clinical staging of esophageal cancer.Methods: In accordance with the international federation of tumor cancer alliance (UICC) and the United States (AJCC) (2003) TNM staging criteria, 45 cases of esophageal cancer patients confirmed by biopsy and gastroscope examination did preoperative diagnosis and clinical staging with EUS, and the results were compared with postoperative pathological staging results.Results: Fourty-five patients had esophageal EUS imaging characteristics, EUS on 45 cases of esophageal cancer patients with preoperative diagnostic accuracy rate was 100.0%; Clinical staging based on the result of postoperative histopathologic examination, preoperative EUS for esophageal T staging overall diagnostic accuracy was 82.2%, T1, T2, T3, T4 diagnostic accuracy respectively was 85.7%, 83.3%, 82.4% and 85.7%; The overall diagnostic accuracy was 77.8% for N staging, N0 and N1 stage diagnostic accuracy respectively was 80.0%, 76.0%.Conclusion: Accuracy rate of EUS on preoperative diagnosis of esophageal cancer is higher, accuracy rate of EUS on preoperative T and N staging of esophageal cancer is also high, it can be important basis of esophageal preoperative treatment selection and prognostic evaluation, and has higher clinical value.
