超声内镜和经腹超声造影对壶腹周围占位性病变的诊断价值比较  

Comparison of Diagnostic Efficiency of Endoscopic Ultrasonography and Contrast Enhanced Ultrasound in Periampullary Lesions

作　　者：陈瑜君[1] 梁美娟 蓝文通 梁瑾瑜[1] 崔毅[2] 谢晓燕[1] CHEN Yu-jun;LIANG Mei-juan;LAN Wen-tong;LIANG Jin-yu;CUI Yi;XIE Xiao-yan(Department of Medical Ultrasonics,The first Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Endoscopy Center,The first Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院超声医学科,广东广州510080 [2]中山大学附属第一医院内镜中心,广东广州510080

出　　处：《中山大学学报（医学版）》2018年第6期916-920,共5页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：国家自然科学青年基金项目(81601514)

摘　　要：【目的】为了比较超声内镜和经腹超声造影对壶腹周围占位性病变的诊断价值。【方法】回顾性分析40例从2016年1月至2018年4月于我院行超声内镜和经腹超声造影检查,并手术或活检确诊为壶腹周围病变的患者。比较超声内镜和经腹超声造影对壶腹周围占位性病变的检出率和诊断符合率。【结果】共入组患者40例,其中壶腹部恶性病变有27例,良性病变13例。超声内镜对壶腹周围病变的检出率高于经腹超声造影检查,分别为95.0%(38/40)和77.5%(31/40),差异有统计学意义(P=0.048)。经腹超声造影检出的31例中,对病灶的诊断符合率64.5%(20/31),有高于超声内镜诊断符合率52.6%(20/38)的趋势,但未达到显著性水平,差异不具有统计学意义(P=0.340)。超声内镜和经腹超声造影同时都检出有30例,这30例超声内镜诊断符合率为53.3%(16/30),超声造影诊断符合率为66.7%(20/30),差异无统计学意义(P=0.430)。【结论】超声内镜对壶腹部周围病变有较高的检出率。经腹超声造影检查有助于对病灶良恶性的诊断。【Objective】To compare the clinical efficiency of the endoscopic ultrasonography(EUS)and contrast enhanced ultrasound(CEUS)in the diagnosis of periampullary lesions.【Methods】The study retrospectively analyzed 40 patients who underwent EUS and CEUS examinations,and were diagnosed as periampullary lesions by surgery or biopsy in our hospital from January 2016 to April 2018.The detection rate and accuracy rate of both EUS and CEUS were analyzed.【Results】Of the 40 case,the count of diagnoses can be simply put them in benign and malignant groups,i.e.27 with cancers,and 13 not cancer.EUS achieved a detection rate at 95.0%(38/40)while CEUS at 77.5%(31/40)(P=0.048).EUS had higher detection rate than CEUS.Among the 31 patients detected by the CEUS and 38 patients detected by the EUS,the diagnostic accuracy were 64.5%(20/31)and 52.6%(20/38)respectively without significant difference(P=0.340).Among the 30 patients detected by both of the EUS and CEUS,the diagnostic accuracy were 53.3%(16/30)and 66.7%(20/30)respectively without significant difference(P=0.430).【Conclusions】The endoscopic ultrasonography has important diagnostic value in the detection of periampullary lesions,and the contrast enhanced ultrasound helps in the differentiation of benign and malignant lesions.

关 键 词：壶腹周围病变 超声内镜 超声造影 

分 类 号：R322.4[医药卫生—人体解剖和组织胚胎学]