摘要
目的探讨超声内镜(EUS)检查在食管癌术前临床分期中的应用价值。方法回顾性分析35例确诊食管癌患者术前超声内镜(EUS)检查结果与术后病理检查。结果按2003年修改的国际抗癌联盟(UICC)和美国肿瘤联合会(AJCC)联合制定的TNM分期法分期。结果 EUS对食管癌的TN分期,T分期判断准确率为80%(28/35),对T1、T2、T3、T4诊断准确率分别为100%、90%、78.6%、50%;N分期准确率为80%,对N0、N1诊断准确率分别为73.3%、85%。结论 EUS对食管癌术前T、N分期诊断准确率较高,准确鉴别T2、T3及转移性淋巴结和炎性淋巴结是提高EUS准确率的重点和难点。
Objective To assess the role of endoscopic ultrasonography （EUS） on defining preopeirative staging of esophageal carcinoma. Methods 35 patients with esophageal carcinoma who underwent surgery were preoperatively evaluated with EUS. Results The results were compared with the postoperative histopathological staging according to the new （ 2003 ） TNM classification, the accurate rate of EUS in assessing the depth of turner infiltration was 80%. The accuracy rates of T staging were 100% for T1,90% for T2,78.6% for T3,50% tor T4,the accurate rate of EUS assessing lymph node metastasis,was 80%. The accuracy rates of N staging were 73.3% for N0,85% for N1. Conclusion EUS may be a valuable procedure for improve the diagnosis accuracy rate of EUS.
出处
《临床消化病杂志》
2013年第3期164-167,共4页
Chinese Journal of Clinical Gastroenterology
关键词
食管癌
超声内镜(EUS)
临床分期
诊断
Esophgeal carcinoma
Endoscopic ultrasonography
Clinicalstaging
Diagnosis
