内镜超声波的诊断价值在周围的十二指腺瘤
Qiuxia Guo1, Xiangwu Ding1, Fei Lv1
1Department of Gastroenterology, Wuhan Fourth Hospital, Wuhan, Hubei Province, China.
Journal of minimal access surgery
|October 20, 2023
概括
内镜超声波 (EUS) 显示了小周围瘤 (<1厘米) 的高诊断准确性,超过CT和MRI-MRCP. 此外,EUS还允许同时进行活检,增强其在诊断十二指肠瘤方面的临床价值.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 在瘤学瘤学.
背景情况:
- 周围瘤需要准确的诊断方法,以便及时干预.
- 内镜超声波 (EUS),计算机断层扫描 (CT) 和磁共振成像与磁共振胆血管细胞造影 (MRI-MRCP) 是常用的成像方式.
研究的目的:
- 为了评估EUS的诊断价值,与CT和MRI-MRCP相比,用于瘤周围的阿姆普拉.
- 确定这些成像技术对不同大小的周围瘤的检测率.
主要方法:
- 在2016年10月至2021年8月期间接受治疗的86名患有围病变的患者的回顾性分析.
- 对EUS,增强CT和MRI-MRCP与病理诊断的检测率的比较.
- 基于瘤直径 (<1厘米和≥1厘米) 的结果分层.
主要成果:
- 对于小于1厘米的瘤,EUS的检测率 (87%) 比MRI-MRCP (59%) 和CT (44%) 高得多.
- 对于≥1厘米的瘤,MRI-MRCP显示了较高的检测率 (93%) 与EUS (78%) 和CT (76%) 相比.
- EUS显示气体干扰最小,并允许同时进行活检.
结论:
- 欧元系统是诊断十二指肠周瘤,特别是较小的病变 (<1厘米) 的一个有价值的工具.
- 它在检查期间进行活检的能力增加了它的临床意义.
- 虽然EUS在较小的瘤中表现出色,但MRI-MRCP在较大的周围瘤病变中更有效.
相关概念视频
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
117
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
117
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
138
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
138
01:26Endoscopic Procedures V: ERCP
293
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
293
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
131
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
131