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| 超声内镜对食管癌术前分期诊断价值研究 |
| The diagnostic value of endoscopic ultrasonography for preoperative staging of esophageal cancer |
| 投稿时间：2015-03-26 修订日期：2015-08-06 |
| DOI：10.3969/j.issn.1000-0399.2015.12.012 |
| 中文关键词: 超声内镜 食管癌 术前分期 |
| 英文关键词: Endoscopic ultrasonography Esophageal cancer Preoperative staging |
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| 中文摘要: |
| 目的 研究超声内镜(EUS)检查对于食管癌术前T、N分期的价值.方法 选取229例术前经EUS检查的食管癌患者,将EUS检查T、N分期与病理T、N分期进行对比.结果 EUS对于食管癌T、N分期总准确率分别为59.83%(137/229)和60.26%(138/229);对于T1、T2、T3、T4期食管癌诊断准确率分别为21.88%(7/32)、39.22%(20/51)、78.57%(110/140)、0.00%(0/6);对于T3期肿瘤术前分期准确率明显高于其他病理分期.结论 EUS对于食管癌T、N分期具有参考价值,但对于早期食管癌效果不满意. |
| 英文摘要: |
| Objective To investigate the value of endoscopic ultrasonography(EUS) examination in diagnosing preoperative T and N staging of esophageal cancer. Methods A total of 229 esophageal cancer patients who received EUS examination before surgery in our hospital were reviewed from Oct 2011 to Sept 2013, and the EUS T and N staging was compared with the pathological T and N staging. Results The total preoperative T staging accuracy rates by EUS examination were 59.83% (137/229), and T1 21.88%(7/32), T2 39.22%(20/51), T3 78.57%(110/140), T4 0(0/6), respectively. The diagnosing accuracy of T3 staging was better than that of others. The N staging accuracy rates by EUS examination were 60.26% (138/229). Conclusion EUS has unsatisfactory reference value in diagnosing preoperative T and N staging of esophageal cancer. |
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