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超声内镜联合血清hsa_circ_0000437术前诊断不同分期胃癌与手术病理一致性研究

刘颖 刘文萍 张敬超 兰永臻 刘素晓 张盼盼 王晓 孙亚雄

影像科学与光化学2025,Vol.43Issue(3):49-56,8.
影像科学与光化学2025,Vol.43Issue(3):49-56,8.DOI:10.7517/issn.1674-0475.2025.03.07

超声内镜联合血清hsa_circ_0000437术前诊断不同分期胃癌与手术病理一致性研究

Study on the Consistency between Preoperative Diagnosis of Gastric Cancer in Different Stages and Surgical Pathology Using Endoscopic Ultrasound Com-bined with Serum hsa_circ_0000437

刘颖 1刘文萍 2张敬超 1兰永臻 1刘素晓 1张盼盼 1王晓 1孙亚雄1

作者信息

  • 1. 河北省沧州中西医结合医院,河北 061000
  • 2. 中国人民解放军联勤保障部队第九八○医院,河北 050082
  • 折叠

摘要

Abstract

Objective:To investigate the consistency between preoperative diagnosis of gastric cancer in different stages by endoscopic ultrasonography combined with serum hsa_circ_0000437 and surgical pathology.Methods:A total of 150 suspected gastric cancer patients admitted to our hospital from January 2018 to July 2024 were enrolled.All patients underwent endoscopic biopsy and serum hsa_circ_0000437 testing.Biopsied gastric cancer patients further received endoscopic ultrasound examination and staging,with surgical pathology serving as the gold standard.Results:A total of 102 gastric cancer patients were confirmed by surgical pathology,with 48 non-gastric cancer patients.The positive rate of serum hsa_circ_0000437 was significantly higher in gastric cancer patients compared to non-gastric cancer patients.The accuracy of endoscopic ultrasonography alone for gastric cancer diagnosis was 74.33%,which increased to 81.07%when combined with serum hsa_circ_0000437.The consistency Kappa value between the combined diagnosis and surgical pathology was 0.41.Conclusion:Endoscopic ultrasonography combined with serum hsa_circ_0000437 shows high value in preoperative diagnosis of gastric cancer in different stages and can provide important reference for clinical treatment planning.

关键词

超声内镜/血清hsa_circ_0000437/胃癌分期/手术病理/一致性

Key words

ultrasonic endoscope/serum hsa_circ_0000437/staging of gastric cancer/surgical pathology/consistency

分类

医药卫生

引用本文复制引用

刘颖,刘文萍,张敬超,兰永臻,刘素晓,张盼盼,王晓,孙亚雄..超声内镜联合血清hsa_circ_0000437术前诊断不同分期胃癌与手术病理一致性研究[J].影像科学与光化学,2025,43(3):49-56,8.

基金项目

河北省医学科学研究课题计划(20240872) (20240872)

沧州市重点研发计划(222106134). (222106134)

影像科学与光化学

1674-0475

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