超声内镜与CT诊断壶腹周围病变的价值比较

发布时间：2018-03-24 05:05

本文选题：壶腹部周围病变　切入点：超声内镜　出处：《实用医学杂志》2015年05期

【摘要】：目的:探讨并比较超声内镜(EUS)与腹部CT在壶腹周围病变中的诊断价值。方法:收集2009-2013年在我院疑诊壶腹部周围病变的病例,入选病例同时行EUS及腹部CT检查。比较两种方法对壶腹周围不同病变的诊断准确率。结果:确诊为壶腹部周围病变的病例共计151例,包括:胆总管结石、壶腹部肿瘤、壶腹部炎症、胰头肿瘤、胰腺囊肿,超声内镜对上述病变的诊断准确率分别83.6%、90.6%、56.5%、100.0%、100.0%,腹部CT对上述病变的诊断准确率分别为52.2%、56.3%、43.5%、91.3%、100.0%。超声内镜对壶腹部病变总的诊断准确率为84.1%,明显高于腹部CT(59.6%)。结论:EUS对壶腹部周围病变具有很高的诊断价值,诊断准确率高于腹部CT。
[Abstract]:Objective: to investigate and compare the diagnostic value of EUS and CT in periampullary lesions. Methods: cases of suspected periampullary lesions in our hospital from 2009 to 2013 were collected. EUS and CT were performed simultaneously. The diagnostic accuracy of the two methods was compared. Results: a total of 151 cases were diagnosed as periampullary lesions, including choledocholithiasis, ampullary tumor, and choledocholithiasis. Inflammation of ampulla, pancreatic head tumor, pancreatic cyst, The diagnostic accuracy of endoscopic ultrasonography for the above lesions was 83.6 and 56.50.The diagnostic accuracy of abdominal CT for the above lesions was 52.2 and 56.30.The diagnostic accuracy of endoscopic ultrasonography was 84.1, which was significantly higher than that of CTT 59.60.Conclusion the diagnostic accuracy of EUS in the ampullary periampullary area is 52.2and 56.30.Conclusion the diagnostic accuracy of ultrasound endoscopy in the diagnosis of ampullary lesions is 84.1, which is significantly higher than that of abdominal CTUs 59.60.Conclusion the diagnostic accuracy of the abdominal CT scan for the above mentioned lesions is 52.2% and 56.35%, respectively. Peri-pathological changes have high diagnostic value. The accuracy of diagnosis was higher than that of abdominal CT.
【作者单位】：湖北省襄阳市中心医院肝胆外科;
【基金】：国家自然科学基金项目(编号:81170351)
【分类号】：R57

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