探讨胃充盈超声、胃镜检查及其联合应用在胃癌术前诊断中的比较效果

IF 2.5 4区综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES

Journal of Radiation Research and Applied Sciences Pub Date : 2025-09-10 DOI:10.1016/j.jrras.2025.101941

Yanyan Ma , Danyang Song , Bo Wang , Qianshi Zhang , Zhanyu Wang , Mi Tian

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引用次数: 0

摘要

目的回顾性分析胃充盈超声（GFUS）与胃镜检查及其联合应用在胃癌术前诊断中的比较效果。方法采用单中心、回顾性、比较分析方法。共纳入279例疑似胃癌患者。术前均行胃镜检查及全胃超声检查。根据胃镜活检标本或术中标本病理诊断结果将患者分为胃癌组（n = 135）和对照组（n = 144）。结果胃镜检查的敏感性为91.85%，特异性为94.44%，总体准确率为93.19%。胃全超声检查灵敏度85.93%，特异度92.36%，总体准确率89.25%。联合方法是最有效的诊断策略，其灵敏度为98.52%，特异性为98.61%，总体准确率为98.57%。结论综合使用GFUS和胃镜检查比单独使用具有更高的诊断准确性和效率。采用联合方法有可能增强胃癌患者的诊断途径，有助于改善临床决策和患者预后。这种方法可以促进胃癌的早期发现和更准确的分期，从而实现及时和个性化的治疗策略。

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Examining the comparative effectiveness of gastric filling ultrasound, gastroscopy, and their combined use for diagnosing gastric cancer before surgery

Purpose

This study aimed to retrospectively analyze the comparative effectiveness of gastric filling ultrasound (GFUS), gastroscopy, and their combined use for preoperative diagnosis of gastric cancer.

Methods

This study was a single-center, retrospective, comparative analysis conducted. A total of 279 patients be suspected of having gastric cancer were included. All patients were conducted preoperative gastroscopy and full gastric ultrasound examinations. These subjects were categorized into a gastric cancer group (n = 135) and a control group (n = 144) based on the pathological diagnostic results from gastroscopy biopsy sample or intraoperative sample.

Results

Gastric endoscopy demonstrates a sensitivity of 91.85 %, specificity of 94.44 %, and an overall accuracy of 93.19 %. Gastric full ultrasonography exhibits a sensitivity of 85.93 % and specificity of 92.36 %, and an overall accuracy of 89.25 %. Combined approach emerges as the most effective diagnostic strategy, boasting a sensitivity of 98.52 %, specificity of 98.61 %, and an outstanding overall accuracy of 98.57 %.

Conclusion

The integrated use of GFUS and gastroscopy offers superior diagnostic accuracy and efficiency compared to their individual use. Embracing the combined approach has the potential to enhance the diagnostic pathway for gastric cancer patients, contributing to improved clinical decision-making and patient outcomes. This approach may facilitate earlier detection and more accurate staging of gastric cancer, thereby enabling timely and personalized treatment strategies.

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来源期刊

Journal of Radiation Research and Applied Sciences MULTIDISCIPLINARY SCIENCES-

自引率

5.90%

发文量

130

审稿时长

16 weeks

期刊介绍： Journal of Radiation Research and Applied Sciences provides a high quality medium for the publication of substantial, original and scientific and technological papers on the development and applications of nuclear, radiation and isotopes in biology, medicine, drugs, biochemistry, microbiology, agriculture, entomology, food technology, chemistry, physics, solid states, engineering, environmental and applied sciences.