摘要
目的 探讨内镜超声检查术(EUS)在胰管扩张病因及恶性疾病邻近脏器浸润的诊断价值。方法 分析129例EUS检查发现胶管扩张的病因,并与同期接受CT检查(n=40)与ERCP检查(n=42)的结果相比较。对其中72例胰腺癌引起的胰管扩张病例,分析EUS对邻近脏器浸润检出率,并与CT、ERCP结果相比较。结果 129例胰管扩张病例中,胰腺癌、壶腹癌、慢性胰腺炎为常见病因。EUS对病因检出率较CT及ERCP高。EUS对胰腺癌邻近血管侵犯及淋巴结转移检出率较CT及ERCP高。结论 EUS对胰管扩张的病因诊断较CT及ERCP有明显的优越性,并能全面评估肿瘤的可切除性,指导制定治疗方案。
Objective To investigate the value of endoscopic ultrasonography (EUS) in the diagnosis of causes for pancreatic duct dilation. Methods 129 patients with pancreatic duct dilatation were examined by EUS and etiologies were analyzed. EUS findings were compared with CT findings in 40 cases, and with ERCP findings in 29 cases. The detection rate of tumor invasion into adjacent organs and major blood vessels in 72 cases of pancreatic carcinoma was analyzed, where EUS findings were compared CT findings in 29 cases, and with ERCP findings in 27 cases. Results Pancreatic cancer, ampullary cancer and chronic pancreatitis were the common causes of pancreatic duct dilation. The detection rate of EUS was higher than that of CT and ERCP. EUS was superior to CT and ERCP in the detection of tumor extension into major blood vessels and lymph node. Conclusions EUS seems to be more accurate in the diagnosis of causes for pancreatic duct dilation than CT and ERCP, and more helpful in the assessment of resectability of tumors and in the design of therapeutic protocols.
出处
《胰腺病学》
2003年第2期90-93,共4页
Chinese JOurnal of Pancreatology
