浙江医学2018，Vol.40Issue(3)：255-257,265,4.DOI:10.12056/j.issn.1006-2785.2017.40.3.2017-755
超声内镜对胃癌术前T、N分期准确率的评估及其影响因素分析
Accuracy of endoscopic ultrasonography in preoperative staging for patients with gastric cancer and its influencing factors
夏晨梅 1陈霞 2李倩倩 2金玲肖 2陈春晓2
作者信息
- 1. 310006 杭州,浙江大学医学院附属第一医院消化内科
- 2. 温岭市第一人民医院消化内科
- 折叠
摘要
Abstract
Objective To evaluate the accuracy of endoscopic ultasonography (EUS) in preoperative staging for patients with gastric cancer and its influencing factors.Methods The clinical data and EUS findings of 233 patients with gastric cancer treated in Wenling People's Hospital from January 2014 to January 2016 were retrospectively analyzed.The postoperative TNM staging was used as golden standard,and the accuracy of preoperative EUS was evaluated.Results The overall accuracy rate of preoperative T staging by EUS was 83.8％,and the accuracy was associated with Borrman type,logitudinal portions,tumor size,tumor invasion depth and gastric wall thickness (P＜0.05),and not affected by histological types (P ＞0.05).The accuracy rate for preoperative N staging was relatively low (63.7％),which was mainly affected by gastric wall thickness and tumor invasion depth (P＜0.05).Multivariate logistic regression showed that Borrman type,logitudinal portions,tumor size,tumor invasive depth were independent factors affecting the accuracy of preoperative T staging by EUS (P ＞0.05).Conclusion The accuracy of preoperative T staging of gastric cancer by EUS is affected by tumor location,type,size and invasion depth;and the accuracy of N staging is associated with tumor invasion depth.关键词
胃癌/超声内镜/术前分期/病理分期Key words
Gastric tumor/Endoscopic ultrasonography/Pathologic staging/Preoperative staging引用本文复制引用
夏晨梅,陈霞,李倩倩,金玲肖,陈春晓..超声内镜对胃癌术前T、N分期准确率的评估及其影响因素分析[J].浙江医学,2018,40(3):255-257,265,4.
