内镜超声检查无法区分胆囊小息肉是肿瘤性还是非肿瘤性的。
Endoscopic ultrasonography does not differentiate neoplastic from non-neoplastic small gallbladder polyps.
作者信息
Cheon Young Koog, Cho Won Young, Lee Tae Hee, Cho Young Deok, Moon Jong Ho, Lee Joon Seong, Shim Chan Sup
机构信息
Institute for Digestive Research and Digestive Disease Center, Soon Chun Hyang University College of Medicine, 657 Hannam-Dong, Yongsan-Ku, Seoul, South Korea.
出版信息
World J Gastroenterol. 2009 May 21;15(19):2361-6. doi: 10.3748/wjg.15.2361.
AIM
To assess the ability of endoscopic ultrasonography (EUS) to differentiate neoplastic from non-neoplastic polypoid lesions of the gallbladder (PLGs).
METHODS
The uses of EUS and transabdominal ultrasonography (US) were retrospectively analyzed in 94 surgical cases of gallbladder polyps less than 20 mm in diameter.
RESULTS
The prevalence of neoplastic lesions with a diameter of 5-10 mm was 17.2% (10/58); 11-15 mm, 15.4% (4/26), and 16-20 mm, 50% (5/10). The overall diagnostic accuracies of EUS and US for small PLGs were 80.9% and 63.9% (P < 0.05), respectively. EUS correctly distinguished 12 (63.2%) of 19 neoplastic PLGs but was less accurate for polyps less than 1.0 cm (4/10, 40%) than for polyps greater than 1.0 cm (8/9, 88.9%) (P = 0.02).
CONCLUSION
Although EUS was more accurate than US, its accuracy for differentiating neoplastic from non-neoplastic PLGs less than 1.0 cm was low. Thus, EUS alone is not sufficient for determining a treatment strategy for PLGs of less than 1.0 cm.
目的
评估内镜超声检查（EUS）区分胆囊息肉样病变（PLG）的肿瘤性与非肿瘤性病变的能力。
方法
回顾性分析94例直径小于20mm的胆囊息肉手术病例中EUS和经腹超声检查（US）的应用情况。
结果
直径5 - 10mm的肿瘤性病变患病率为17.2%（10/58）；11 - 15mm为15.4%（4/26），16 - 20mm为50%（5/10）。EUS和US对小PLG的总体诊断准确率分别为80.9%和63.9%（P < 0.05）。EUS正确区分了19个肿瘤性PLG中的12个（63.2%），但对小于1.0cm的息肉（4/10，40%）的诊断准确性低于大于1.0cm的息肉（8/9，88.9%）（P = 0.02）。
结论
尽管EUS比US更准确，但其区分小于1.0cm的肿瘤性与非肿瘤性PLG的准确性较低。因此，单独使用EUS不足以确定小于1.0cm的PLG的治疗策略。
Zotero 插件