摘要
目的评价常规内镜对原发性十二指肠恶性肿瘤的诊断价值。方法回顾分析该院11年中41例十二指肠恶性肿瘤的诊断方法。结果16例乳头以上肿瘤全部经胃镜检查并活检、病理证实。乳头部肿瘤17例,14例经ERCP取活检病理确诊。内镜确诊率达73.2%。因间接检查(如B超、X线、CT、MRI等)阳性发现、或外科急腹症而行手术后确诊11例。结论常规胃镜、十二指肠镜检查对该病有针对性强、可直视下取材活检、痛苦小、经济、必要时可重复等优点。
[Objective] To evaluate diagnostic value of convention endoscopy to primary duodenal malignant tumor. [Methods] Fourty-one patients made a definite diagnoses of primary duodenal malignant tumor admitted into our hospital between 1995-2006 were included. The diagnostic means were analyzed. [Results] 16 cases upper papilla tumor were diagnosed by gastrescopy and biopsy. 14 out of 17 cases papilla tumor were diagnosed by duodenoscopy and biopsy, 11 cases finally were diagnosed by operation, which depend on clues by means of B-US, X ray, MRI, CT et al. [Conclusions] Traditionally gastrescopy and duodenoscopy have advantages of accuracy, small pain, economy. If necessary , the process can be repeated.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第3期290-291,共2页
China Journal of Endoscopy
关键词
原发性十二指肠恶牲肿瘤
内镜
诊断
primary duodenal malignant tumor
, endoscopy
diagnosis
