超声内镜引导下细针穿刺对上消化道邻近组织肿瘤的诊断价值  

Clinical utility of longitudinal endoscopic ultrasound-guided fine needle aspiration in diagnosis of upper gastrointe stinaltract and adjacent organism tumors

作　　者：王斌[1] 郑永才[2] 徐少勇[1] 卢光新[1] 成健康[1] 

机构地区：[1]郧阳医学院附属人民医院消化科,湖北十堰442000 [2]郧阳医学院附属人民医院超声科,湖北十堰442000

出　　处：《中国内镜杂志》2006年第5期469-471,共3页China Journal of Endoscopy

摘　　要：目的探讨纵轴超声内镜引导下细针穿刺活检(EUS-FNA)对诊断上消化道邻近组织肿瘤的价值。方法26例上消化道邻近组织可疑肿瘤患者行纵轴EUS-FNA,进行细胞学及组织学检查与经手术病理最终诊断结果相比较,评价纵轴EUS-FNA诊断准确性及安全性。结果22例患者获得足够的细胞或组织学资料,穿刺成功率84.6%。在所有穿刺病例中,EUS-FNA敏感性84.0%,特异性100%;而在穿刺成功的病例中,敏感性达到95.5%,特异性100%。所有患者未出现严重并发症。结论纵轴EUS-FNA对诊断上消化道邻近组织肿瘤特异性高,是安全、有效的方法。[Objective] To determine the safety and accuracy of longitudinal endoscopic ultrasound-guided fine needle aspiration （EUS-FNA） in diagnosis of upper gastrointestinal tract and adjacent organism tumors. [Methods] 26 patients had EUS-FNA, while cytology and pathology examination were performed. [Results] Adequate specimens were obtained by EUS-FNA in 22 of total 26 patients, with sensitivity and specificity of EUS-FNA in all of the 26 patients 84.0% and 100%. While the sensitivity and specificity in 22 patients with adequate specimens reached 95.5% and 100%. No severe complications were found. [Conclusions] Longitudinal EUS-FNA is sensitive and effective in diagnosis of upper gastrointestinal tract and adjacent organs lesions, especially for those whose diag nosis is hard to get by regular methods.

关 键 词：超声内镜检查 活组织检查 针吸 消化道肿瘤 

分 类 号：R735[医药卫生—肿瘤]