纵轴超声内镜对进展期胃癌的诊断价值  

Value of Longiludinal Axis Endoscopic Ultrasonography in the Diagnosis of Advanced Gastric Carcinoma

作　　者：王娜[1] 朱惠明[1] 李银鹏[1] 

机构地区：[1]暨南大学医学院附属深圳市人民医院消化科,518020

出　　处：《肿瘤防治研究》2005年第4期231-232,共2页Cancer Research on Prevention and Treatment

摘　　要：目的　评价纵轴超声内镜在进展期胃癌诊断中的应用价值。方法　29 例进展期胃癌病例接受电子内镜检查与组织活检病理检查、超声内镜检查及超声内镜下穿刺细胞病理学检查,检查结果与外科手术所见及组织病理学检查结果进行比较。结果　胃镜检查对Borrmann I、II、III、IV型胃癌的确诊率分别为100%、86.4%、80%和0,而超声内镜加超声内镜介导下细胞病理学检查对4 型胃癌的诊断准确率均为100%。对胃癌的TNM分期与术后病理分期的符合率为83.75%。结论　超声内镜对进展期胃癌尤其是Borrmann Ⅳ型胃癌的诊断价值优于胃镜检查。Objective To evaluate the value of longiludinal axis endoscopic ultrasonography (LAEUS) in the diagnosis of advanced gastric carcinoma. Methods Twenty-nine consecutive patients with advanced gastric carcinoma were underwent endoscopy with biopsy for pathology, LAEUS and LAEUS-guided puncture aspiratian for cell pathology, respectively. The results were compared with those of surgical naked-eye inspections and LAEUS plus LAEUS-guided biopcy. Results Final diagnosis of gastric cancer made by endoscopy accounted for 100%、 86.4%、 80% and 0 in the patients with Borrmann I, II, III, and IV types of gastric carcinoma, respectively, whereas final diagnosis rate of gastric cancer made by LAEUS plus LAEUS-guided biopcy was 100%. The diagnosis rate of TNM stages of gastric cancer made by LAEUS plus LAEUS-guided biopcy was 83.75% according to the pathological finding of surgical sample. Conclusion LAEUS is superior than endoscopy in diagnosis of advanced gastric carcinoma, especially in Borrmann Ⅳ of advanced gastric carcinoma.

关 键 词：纵轴超声内镜 进展期胃癌 诊断 

分 类 号：R445[医药卫生—影像医学与核医学] R735.2[医药卫生—诊断学]