白光内镜联合超声内镜检查术在早期胃癌诊断中的应用价值  

Application value of white light endoscopy combined with endoscopic ultrasonography in patients with early gastric cancer

作　　者：安敏 高振军 An Min;Gao Zhenjun(Department of Gastroenterology,Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University,Shanghai 210007,China)

机构地区：[1]复旦大学附属中山医院青浦分院消化科,上海210007

出　　处：《中国内镜杂志》2023年第7期67-72,共6页China Journal of Endoscopy

摘　　要：目的分析早期胃癌患者经白光内镜联合超声内镜检查术(EUS)的病情评估情况。方法回顾性分析2019年1月-2022年1月该院45例早期胃癌患者的临床资料,所有患者均完成白光内镜和EUS。分析早期胃癌不同形态病变的白光内镜特征,EUS和白光内镜对早期胃癌浸润深度的评估情况,早期胃癌在EUS和白光内镜下的T分期情况,白光内镜联合EUS在早期胃癌患者中的诊断结果。结果45例早期胃癌患者的白光内镜结果显示,4例为隆起性,40例为平坦性,1例为凹陷性。以术后病理检查结果为金标准,EUS诊断早期胃癌T分期结果与病理检查结果有较高的一致性,白光内镜诊断早期胃癌T分期结果与病理检查结果一致性较低。白光内镜联合EUS诊断Tis期、T1a期和T1b期均具有较高的灵敏度、特异度和准确度。结论白光内镜能够较好地评估早期胃癌患者的浸润深度,EUS可较好地评估病灶T分期情况,两者联合应用具有较高的诊断价值。Objective To analyze the condition evaluation of patients with early gastric cancer by white light endoscopy combined with endoscopic ultrasonography(EUS).Methods Retrospective analysis was used to study 45 patients with early gastric cancer from January 2019 to January 2022.All the patients underwent white light endoscopy and EUS.The characteristics of white light endoscopy in different morphological lesions of early gastric cancer were analyzed,the depth evaluation of invasion by EUS and white light endoscopy were analyzed,the T staging of EUS and white light endoscopy were analyzed,and the diagnosis results of white light endoscopy combined with EUS in patients with early gastric cancer were analyzed.Results The results of white light endoscopy in 45 patients with early gastric cancer showed that 4 cases were protuberant,40 cases were flat,and 1 case was concave.Taking the results of postoperative pathological examination as the gold standard,the T staging results of EUS diagnosis of early gastric cancer were in high consistency with the results of pathological examination,while the T staging results of white light endoscopy diagnosis of early gastric cancer were slightly less consistent with the results of pathological examination.White light endoscopy combined with EUS has better sensitivity,specificity and accuracy in the diagnosis of Tis phase,T1a phase and T1b phase.Conclusion White light endoscopy can better evaluate the depth of invasion in patients with early gastric cancer,EUS can better evaluate the T stage of the lesion,and the combined application of the two has better diagnostic value.

关 键 词：早期胃癌 白光内镜 超声内镜检查术 预测 

分 类 号：R735.2[医药卫生—肿瘤]