内镜超声在胰腺癌症血管病变诊断中的应用

中华消化内镜杂志 Pub Date : 2019-09-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.09.011

Si-jie Hao, Hang He, Feng Yang, Y. Di, Yuqin Jin, C. Jin, D. Fu, L. Zhong

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引用次数: 0

摘要

目的评价超声内镜(EUS)对胰腺癌血管累及的诊断价值和准确性。方法前瞻性入选2014年1月至2019年3月复旦大学华山医院CT扫描疑似胰腺血管受损伤患者。EUS检查血管受累情况，与手术病理结果进行比较。结果共纳入132例胰腺癌患者，均行EUS观察及根治性切除联合血管切除术。其中胰头癌103例，胰颈癌19例，远端癌10例。EUS对累及静脉的胰腺癌的诊断敏感性为97.4%(113/116)，特异性为81.2%(13/16)，准确性为95.5% (126/132);而累及肠系膜上动脉的胰腺癌分别为33.3%(2/6)、90.0%(81/90)和86.5%(83/96)。结论EUS在胰腺癌血管受累诊断中具有重要作用，有助于手术决策。关键词:胰腺肿瘤;超声内镜;血管介入

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Application of endoscopic ultrasonography on diagnosis of vascular involvement for pancreatic cancer

Objective To evaluate the diagnostic efficiency and accuracy of endoscopic ultrasonography (EUS) on vascular involvement of pancreatic cancer. Methods Patients, suspected pancreatic cancer with vascular involvement by CT scan in Huashan Hospital, Fudan University from January 2014 to March 2019, were enrolled prospectively in the study. EUS was performed to evaluate the vascular involvement compared with surgical pathological results. Results A total of 132 patients with pancreatic cancer were enrolled in the study, and they all underwent EUS observation and radical resection with vessels resection. There were 103 cases of cancer in pancreatic head, 19 cancers in pancreatic neck and 10 cancers in distal pancreas. The diagnostic sensitivity, specificity and accuracy of EUS was 97.4% (113/116), 81.2% (13/16), and 95.5% (126/132), respectively for pancreatic cancers with vein involvement; while was 33.3% (2/6), 90.0% (81/90), and 86.5% (83/96), respectively, for pancreatic cancers with superior mesentery artery involvement. Conclusion EUS may play a key role in diagnosis of vascular involvement of pancreatic cancer, and be helpful for the surgical decision marking. Key words: Pancreatic neoplasms; Endoscopic ultrasonography; Vascular involvement

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.