内镜超声检查对壶腹癌诊断价值的探讨  

The Investigation on Diagnostic Value of Endoscopic Ultrasonography of Ampullary Carcinoma

作　　者：田艳涛[1] 赵平[1] 王成锋[1] 单毅[1] 王贵齐[2] 刘骞[1] 白晓枫[1] 

机构地区：[1]中国医学科学院中国协和医科大学肿瘤医院腹部外科,北京市100021 [2]中国医学科学院中国协和医科大学肿瘤医院腔镜室,北京市100021

出　　处：《中国肿瘤临床》2006年第22期1265-1267,共3页Chinese Journal of Clinical Oncology

基　　金：国家"十五"科技攻关计划基金(编号:2004BA703B11);国家教育部高等学校博士学科点专项基金资助(编号:20020023024;20030023008)

摘　　要：目的:探讨内镜超声检查(EUS)对壶腹癌的诊断价值。方法:对连续收治的26例壶腹癌全部实施内镜超声检查,并与US、HCT、MRI检查结果进行比较。结果:对照手术及病理结果,EUS对壶腹部肿瘤直接征象显示率达100%(26/26),而US、HCT、MRI分别为46.15%(12/26)、73.08%(19/26)和50.00%(13/26),EUS与US、HCT、MRI相比有显著差异(P=0.0045,P<0.0001,P<0.0001)。结论:EUS是诊断壶腹癌的良好手段,在显示病变的直接征象具有明显优势。Objective： To investigate the value of endoscopic uhrasonography （EUS） in diagnosis of the ampullary carcinoma. Methods： Twenty-six patients with ampullary carcinoma were examined by EUS, and were compared with the results of US, HCT and MRI. Results： As compared with the postoperative pathological diagnosis, the overall accuracy of EUS in detecting the direct signs of ampullary carcinomas was 100%, only indirect signs of the disease were identified in majority of the cases using other methods. The EUS was significantly much more superior compared to the US （P〈0.0001）, HCT （P=0.0045） and MRI （P〈0.0001） methods. Conclusion： The method of EUS is more accurate in detecting ampullary carcinoma compared to US, HCT and MRI, especially in direct detection of the ampullary tumor.

关 键 词：壶腹癌 内镜超声检查术 诊断 

分 类 号：R735.0[医药卫生—肿瘤]