内镜超声检查对大肠隆起性病变的诊断价值  

Endoscopic ultrasonography in the diagnosis of colorectal eminence lesions

作　　者：郭文[1] 张亚历[1] 张振书[1] 陈村龙[1] 潘德寿[1] 周丹[1] 

机构地区：[1]第一军医大学南方医院全军消化内科研究所,广州510515

出　　处：《中华超声影像学杂志》2001年第7期396-398,共3页Chinese Journal of Ultrasonography

摘　　要：目的　探讨内镜超声检查 (EUS)对大肠隆起性病变的诊断价值。方法　对 187例大肠隆起性病灶行内镜超声检查。结果　①EUS对大肠隆起性病变的总诊断符合率达 95 .19% ,高于肠镜(83 .42 % ) ;②EUS对粘膜下肿瘤和肠外压性隆起诊断率均为 10 0 % ,明显高于肠镜 (43 .48%和 43 .75 % ) ,但EUS对息肉及肠癌的诊断率 (92 .13 %和 96 .30 % )与肠镜相当 (95 .5 1%和 92 .5 9% ) ;③EUS对肠癌术前浸润深度及有无淋巴结转移的诊断正确率为 83 .33 %和 77.78%。结论　EUS对大肠隆起性病变的诊断与鉴别诊断有较大的价值 。Objective To evaluate the value of endoscopic ultrasonography (EUS) in the diagnosis of colorectal eminence lesions.Methods One hundred and eighty seven patients with colorectal eminence lesions were examined by EUS.Results ①The accuracy of EUS was 95.19 % and superior to that of endoscopy ( 83.42 %)(P< 0.01 ). ②The accurate rate of EUS in the diagnosis of submucosal tumor or extraintestinal compression(100%) was much higher than that of endoscopy( 43.48 % or 43.75 %), and the accurate rate of EUS in the diagnosis of polyp or cancer( 92.13 % or 96.30 %) was similar to that of endoscopy( 95.51 % or 92.59 %).③The rate of accurate diagnosis of the depth of cancerous invasion in colorectal cancer with EUS was 83.33 %, concordant with the histological findings.The accuracy in detecting regional lymph node metastasis was 77.78 %.Conclusions EUS is the update best way to diagnose submucosal tumor or extraintestinal compression, showing its diagnostic value for colorectal eminence lesions.

关 键 词：内镜超声检查 肠疾病 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]