多排螺旋CT和超声内镜诊断胃肠道神经内分泌肿瘤的对比分析  

Comparison of Multislice Spiral CT and Endoscopic Ultrasonography for Diagnosis of the Gastrointestinal Neuroendocrine Neoplasm

作　　者：何云飞[1] 罗宴吉[2] 冯仕庭[2] 黄鹤[3] 靳仓正[1] 叶华景[1] 赖文佳[1] 

机构地区：[1]广东省佛山市南方医科大学附属南海医院放射科,广东佛山528200 [2]中山大学附属第一医院放射科,广东广州510080 [3]广东省佛山市南方医科大学附属南海医院腔镜中心,广东佛山528200

出　　处：《中国CT和MRI杂志》2017年第7期107-109,共3页Chinese Journal of CT and MRI

基　　金：国家自然科学基金项目(81571750);佛山市医学类科技公关项目(2014AB000572);佛山市南海区“十三五”重点专科(特色专科)建设项目

摘　　要：目的探讨多排螺旋CT和超声内镜对胃肠道神经内分泌肿瘤的诊断价值。方法回顾性分析38例经手术后病理证实的GI-NEN的MSCT和超声内镜资料,并与手术病理结果相对照;分析统计两种影像方法对GI-NEN的检出率、T3、T4和N分期的符合率。结果 MSCT、EUS对GI-NEN的检出率分别为81.6%、94.7%(P=0.041),MSCT低于EUS;MSCT和EUS对肿瘤T3、T4和N分期的符合率分别为T3:81.8%、63.6%(P=0.039),T4:77.8%、44.4%(P=0.034),N:68.8%、43.8%,(P=0.033),MSCT的符合率高于EUS。结论Objective To compare the value of multislice spiral CT （MSCT） and endoscopic ultrasonography（EUS） for diagnosis of GI-NEN. Methods The MSCT and EUS materials of 38 cases with GI-NEN confirmed by pathology were studied retrospective]y and compared with pathological outcomes, the detecting rate, coincidence rate of T3,T4 and N staging by these methods were analyzed statistically. Results The detecting rate of MSC, T and EUS for GI-NEN were 81.6%, 94.7%（P=0.041）, respectively. The detecting rate of MSCT for GI-NEN was significantly lower than that of EUS. The coincidence rate of T3,T4 and N staging by MSCT and EUS for GI-NEN were T3：81.8%, 63.6%（P=0.039）, T4：77.8%,44.4%（P=0.034）,N：68.8%, 43.8%（P=0.033）, respectively. The coincidence rates of MSCT was significantly higher than that of EUS. Conclusion EUS can be regarded as the preferred imaging method for detecting GI- NEN, MSCT can be one necessary supplementary approach for detecting GI-NEN and staging.

关 键 词：体层摄影术 X线计算机 超声内镜 神经内分泌肿瘤 

分 类 号：R472.91[医药卫生—护理学]