增强超声内镜与增强CT诊断胰腺肿块对比分析

Comparison and analysis of contrast-enhanced endoscopic ultrasonography and enhanced CT in diagnosis of pancreatic mass

摘要:

目的 探讨增强超声内镜（CE-EUS）和增强CT（CE-CT）对胰腺肿块患者的诊断价值。方法 对2010年5月~2013年6月42例胰腺肿块患者进行常规术前CE-EUS与CE-CT检查，根据术后病理诊断，再对检查结果进行比较。结果 42例胰腺肿块患者中，24例确诊为胰腺腺癌，术前普通超声内镜诊断的30例，CE-EUS诊断的23例，CE-CT术前诊断21例，CE-EUS和CT的诊断准确率分别为91.6％与87.5％。结论 CE-EUS在胰腺肿块的诊断中具有较高的特异性和准确性，与CE-CT联合应用有助于胰腺疾病的诊断。

Abstract:

【Objective】 To investigate the diagnostic value of contrast-enhanced endoscopic ultrasonography (CE-EUS) and enhanced CT in patients with pancreatic placeholder. 【Methods】 Between May 2010-June 2013, a total of 42 patients with pancreatic mass, surgical pathology confirmed the diagnosis, preoperative CE-EUS and enhanced CT examination were carried out , and then the results of the examination were compared. 【Results】 42 cases with pancreas placeholder, 24 patients diagnosed with pancreatic adenocarcinoma by surgical pathology, 30 patients diagnosed by EUS, 23 patients diagnosed by CE-EUS , and 21 patients diagnosed by enhanced CT. The accuracy of CE-EUS and enhanced CT diagnostic was 91.6% and 87.5%, respectively. 【Conclusion】 CE-EUS is more specific and accuracy in the diagnosis of pancreatic placeholder, and if combined with enhancement CT it will be helpful to the diagnosis of pancreatic diseases.