中国临床医学2011，Vol.18Issue(6)：855-857,3.
高频微探头超声内镜检查在结直肠癌术前TN分期中的价值
Value of High Frequency Endoscopic Ultrasound Mini Probe in Pre-Operative TN Staging of Colorectal Cancer
彭海霞 1褚以态 2蒯榕 2李吉 2王赛玉 2洪怡2
作者信息
- 1. 同济大学医学院,上海200092
- 2. 上海市长宁区中心医院内镜室,上海 200336
- 折叠
摘要
Abstract
Objective:To evaluate the value of high frequency endoscopy ultrasound (EUS) mini probe in the pre-operative TN staging of colorectal cancer. Methods: Colorectal cancers proved by colonoscopies and biopsies in 145 patients were preopera-tively evaluated with high frequency endoscopic ultrasound mini probes to determine the depth of tumor invasion(T) and local lymph node metastasis(N) in order to estimate the accuracy of TN staging. The accuracy of T staging and tumor-node staging of colorectal cancer by EUS with high frequency mini probe was compared with post-operative pathologic findings. Results: The concordant diagnosis rates of T and N staging by endoscopic ultrasonography with high frequency mini probe and pathological findings were 84. 83% and 70. 34% , respectively. The concordance rates of T1 ,T2,T3 and T4 staging were 88. 89% , 85. 71 % , 4. 27% and 80. 00%, respectively. The concordance rates of EUS with high frequency mini probe in determining the stage lymph node metastasis(LNM) were 98. 41%(LNM positive)and 92. 68%( LNM negative); N1 and N2 staging were 76.92% and 16. 22% , respectively. Conclusions: High frequency endoscopic ultrasound mini probe in the preoperative T staging for patients with colorectal cancer was relatively high,especially for early stage colorectal cancer and those with tumor stenosis;but its accuracy in determining the N2 staging needs to be modified.关键词
超声内镜检查/高频微探头/结直肠癌/肿瘤分期Key words
Endoscopic ultrasonography/ High frequency mini probe/ Colorectal cancer/ Tumor staging分类
医药卫生引用本文复制引用
彭海霞,褚以态,蒯榕,李吉,王赛玉,洪怡..高频微探头超声内镜检查在结直肠癌术前TN分期中的价值[J].中国临床医学,2011,18(6):855-857,3.
