Diagnostic value of endoscopic ultrasonography on upper gastrointestinal eminence lesions

doi:10.3877/cma.j.issn.2095-2015.2017.06.004

Abstract

Abstract:

Objective

To evaluate the diagnostic value of endoscopic ultrasonography(EUS)on eminence lesions of upper gastrointestinal tract.

Methods

A retrospective analysis was made based on clinical data of 98 upper gastrointestinal eminence lesions patients from July 2010 to August 2016 in the First Affiliated Hospital of Shanxi Medical University.All patients were performed EUS and were treated with endoscope, or the lesions were identified by biopsy.EUS findings were compared with postoperative or biopsy pathological diagnosis.The sensitivity, specificity and accuracy of EUS diagnosis in property and layer origin of upper gastrointestinal eminence lesions were calculated.

Results

The sensitivity, specificity and accuracy of EUS diagnosis in upper gastrointestinal eminence lesions property were 89.80%, 96.58%, 96.16%.The sensitivity, specificity and accuracy of EUS diagnosis in layer origin of upper gastrointestinal eminence lesions were 97.96%, 99.05%, 98.44%.

Conclusion

EUS has value in the diagnosis of property of upper gastrointestinal eminence lesions, and has high accuracy of identifying the origin layer, which is helpful to choose diagnostic and therapeutic schedule of upper gastrointestinal eminence lesions under endoscopy.

Key words: Upper gastrointestinal tract eminence lesions, Endoscopic ultrasonography, Diagnosis

Fen Wang, Yunqin Yin. Diagnostic value of endoscopic ultrasonography on upper gastrointestinal eminence lesions[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2017, 07(06): 252-256.

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URL: https://zhxhbyyxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-2015.2017.06.004

https://zhxhbyyxzz.cma-cmc.com.cn/EN/Y2017/V07/I06/252

Figures/Tables 4

References 10

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诊断指标	病理结果个数	超声结果个数	超声内镜诊断(%)
诊断指标	病理结果个数	超声结果个数	敏感性	特异性	准确率
平滑肌瘤	28	29	92.86	95.71	94.90
息肉	27	30	96.30	94.37	94.90
间质瘤	17	18	88.24	96.30	94.90
早癌	11	11	100	100	100
囊肿	5	5	100	100	100
类癌	3	2	66.67	100	98.98
脂肪瘤	2	2	100	100	100
乳头样增生	2	0	0	100	97.96
血管瘤	1	0	0	100	98.98
异位胰腺	1	1	100	100	100
MALT淋巴瘤	1	0	0	100	98.98
统计	?	?	89.80	96.58	96.16

诊断指标	病理结果个数	超声结果个数	超声内镜诊断(%)
诊断指标	病理结果个数	超声结果个数	敏感性	特异性	准确率
平滑肌瘤	28	29	92.86	95.71	94.90
息肉	27	30	96.30	94.37	94.90
间质瘤	17	18	88.24	96.30	94.90
早癌	11	11	100	100	100
囊肿	5	5	100	100	100
类癌	3	2	66.67	100	98.98
脂肪瘤	2	2	100	100	100
乳头样增生	2	0	0	100	97.96
血管瘤	1	0	0	100	98.98
异位胰腺	1	1	100	100	100
MALT淋巴瘤	1	0	0	100	98.98
统计	?	?	89.80	96.58	96.16

起源层次	病理结果	超声结果	超声内镜诊断(%)
起源层次	病理结果	超声结果	敏感性	特异性	准确率
黏膜层	44	42	95.45	100	97.96
黏膜肌层	31	33	100	97.01	97.96
黏膜下层	8	8	100	100	100
固有肌层	15	15	100	100	100
统计	?	?	97.96	99.05	98.44

起源层次	病理结果	超声结果	超声内镜诊断(%)
起源层次	病理结果	超声结果	敏感性	特异性	准确率
黏膜层	44	42	95.45	100	97.96
黏膜肌层	31	33	100	97.01	97.96
黏膜下层	8	8	100	100	100
固有肌层	15	15	100	100	100
统计	?	?	97.96	99.05	98.44

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