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- Title
造影增强超声内镜与增强CT对胰腺实性占位诊断价值的比较分析.
- Authors
李静; 李鑫; 张辉; 徐有青
- Abstract
Objective To investigate the value of contrast — enhanced endoscopic ultrasound (CE — EUS) versus contrast — enhanced computed tomography (CE — CT) in the diagnosis of pancreatic solid space — occupying lesions. Methods A total of 78 patients with pancreatic solid space — occupying lesions who attended Beijing Tiantan Hospital, Capital Medical University, from January 2014 to December 2019 were enrolled. All patients were diagnosed by EUS — guided fine needle aspiration or postoperative pathology, and CE — EUS and CE — CT were compared in terms of their accuracy, sensitivity, specificity, and Youden index in the diagnosis of pancreatic solid space — occupying lesions. Results In the diagnosis of pancreatic cancer, CE — EUS and CE — CT had accuracy rates of 97.9% and 87.2%, sensitivities of 97.7% and 88.9%, specificities of 100% and 50%, and Youden indices of 0.96 and 0.76, respectively. In the diagnosis of small pancreatic cancer, CE — EUS and CE — CT had accuracy rates of 84.6% and 61.5%, sensitivities of 80% and 70%, specificities of 100% and 33.3%, and Youden indices of 0.80 and 0.03, respectively. In the diagnosis of chronic pancreatitis with mass, CE — EUS and CE — CT had accuracy rates of 90.5% and 61.9%, sensitivities of 94. 1% and 64.7%, specificities of 75% and 50%, and Youden indices of 0.69 and 0.15, respectively. In the diagnosis of pancreatic neuroendocrine tumors, CE — EUS and CE — CT had accuracy rates of 85.7% and 28.6%, sensitivities of 83.3% and 16.7%, specificities of 100% and 100%, and Youden indices of 0.83 and 0.17, respectively. Conclusion CE — EUS has certain advantages over CE — CT in the diagnosis of pancreatic solid space — occupying lesions.
- Publication
Journal of Clinical Hepatology / Linchuang Gandanbing Zazhi, 2021, Vol 37, Issue 7, p1647
- ISSN
1001-5256
- Publication type
Article
- DOI
10.3969/j.issn.1001-5256.2021.07.033