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引用次数: 0
摘要
目的：探讨内窥镜超声（EUS）在直肠癌分期中的诊断价值：探讨内镜超声（EUS）在直肠癌分期中的诊断价值。方法选取 2023 年 3 月至 2024 年 6 月期间在复旦大学附属肿瘤医院内镜科接受治疗的 50 例直肠癌患者。所有患者均在手术前两周内接受了 EUS 和计算机断层扫描（CT）检查。以术后病理分期为标准，比较 EUS 和/或 CT 对肿瘤 TN 分期的准确性。结果腹部螺旋 CT 的 T 和 N 分期准确率分别为 72.00% 和 76.00%，而 EUS 的准确率分别为 88.00% 和 74%。两种方法的T分期准确率差异显著（P均<0.05）。结论EUS 在直肠癌分期中具有很高的诊断价值，可为临床医生提供重要的参考信息，有助于制定个性化治疗方案和评估患者预后。
Diagnostic Value of Endoscopic Ultrasound in Staging Rectal Cancer
Objective: To explore the diagnostic value of endoscopic ultrasound (EUS) in the staging of rectal cancer. Methods: Fifty patients with rectal cancer, treated at the Department of Endoscopy, Cancer Hospital Affiliated to Fudan University, from March 2023 to June 2024, were selected. All patients underwent EUS and computed tomography (CT) examination within two weeks before surgery. The postoperative pathological staging was used as the standard to compare the accuracy of tumor TN staging using EUS and/or CT. Results: The accuracy rates of T and N staging by abdominal spiral CT were 72.00% and 76.00%, respectively, while those by EUS were 88.00% and 74%, respectively. There was a significant difference in the accuracy of T staging between the two methods (both P < 0.05). Conclusion: EUS has high diagnostic value in the staging of rectal cancer, providing important reference information for clinicians, aiding in the development of personalized treatment plans, and assessing patient prognosis.
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