内镜超声检查对胰腺癌进展程度的评估  

Value of Endoscopic Ultrasonography in Assessing the Degree of Invasion in Pancreatic Carcinoma.

作　　者：金震东[1] 许国铭[1] 邹晓平[1] 李兆申[1] 潘雪[1] 

机构地区：[1]第二军医大学附属长海医院消化科,200433

出　　处：《外科理论与实践》2001年第2期85-86,99,共3页Journal of Surgery Concepts & Practice

摘　　要：目的：正确诊断胰腺癌对周围脏器的侵犯程度。方法：在１８０例经超声内镜（ＥＵＳ）诊断的胰腺癌中，分析６０例同时具有病理学、体外Ｂ超（ＵＳ）、ＣＴ和ＥＲＣＰ检查的６０例病人。比较以上４种影像学检查方法对胰腺癌７种进展程度指标（胰前方被膜侵犯、胰后方组织侵犯、胆总管胰段侵犯、十二指肠侵犯、门静脉侵犯、动脉侵犯及局部淋巴结转移）的诊断正确率。结果：ＥＵＳ诊断准确率分别达８９％，９０％，８２％，７１％，７６％，８６％，７５％，均高于ＵＳ、ＣＴ和ＥＲＣＰ，其中ＥＲＣＰ仅能显示胆总管胰段，但其诊断胆总管胰段侵犯正确率与ＥＵＳ相当（８０％）。结论：ＥＵＳ对胰腺癌进展程度的诊断有较大价值。To assess the value of different methods in evaluating the degree of invasion of pan- creatic carcinoma to adjacent tissues and organs. Methods: Among 180 cases of pancreatic carcinoma detected by endoscopic ultrasonography(EUS), 60 cases possessed simultaneous data provided by US, CT and ERCP. The relative accuracy of the 4 imaging methods (EUS, US, CT and ERCP) in assessing the 7 parameters(serosal invasion, S; retroperitoneal invasion, rp; invasion to the intrapancreatic seg- ment of the common bile duct, Ch; invasion to the duodenal wall, D; invasion to the portal venous sy- stem, PV; invasion to artery, A and lymph nodes metastasis, N) was studied. Results: EUS provided a higher accuracy(89%, 90%, 82%, 71%, 76%, 86%, 75%, respectively) than the other 3 methods. ERCP could only demonstrate the intrapancreatic segment of the common bile duct, and its accuracy in this respect was similar to that of EUS(80%). Conclusions: EUS is the method of choice in evaluating the degree of invasion in pancreatic carcinoma.

关 键 词：内镜超声检查术 胰腺肿瘤 诊断 EUS 

分 类 号：R735.9[医药卫生—肿瘤] R730.41[医药卫生—临床医学]