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中华结直肠疾病电子杂志 ›› 2019, Vol. 08 ›› Issue (02) : 135 -138. doi: 10.3877/cma.j.issn.2095-3224.2019.02.006

所属专题: 文献

论著

水囊扩张法3D经直肠腔内超声在低位直肠癌术前分期中的应用
刘启志1, 洪永刚1, 施洪2, 徐怡3, 白辰光3, 王忠昊4, 陶正博4, 郝立强1, 张卫1,()   
  1. 1. 200433 上海,海军军医大学附属长海医院肛肠外科
    2. 200433 上海,海军军医大学附属长海医院超声科
    3. 200433 上海,海军军医大学附属长海医院病理科
    4. 200433 上海,海军军医大学学员旅学员十队
  • 收稿日期:2018-04-08 出版日期:2019-04-25
  • 通信作者: 张卫
  • 基金资助:
    国家自然科学面上基金资助项目(No.81572358); 上海科委自然科学基金资助项目(No.16ZR1400800)

The preoperative value of 3D endorectal ultrasonography with water balloon dilatation in low rectal cancer

Qizhi Liu1, Yonggang Hong1, Hong Shi2, Yi Xu3, Chenguang Bai3, Zhonghao Wang4, Zhengbo Tao4, Liqiang Hao1, Wei Zhang1,()   

  1. 1. Department of Colorectal Surgery, the Affiliated Changhai Hospital of Naval Military Medical University, Shanghai 200433, China
    2. Department of Ultrasound, the Affiliated Changhai Hospital of Naval Military Medical University, Shanghai 200433, China
    3. Department of Pathology, the Affiliated Changhai Hospital of Naval Military Medical University, Shanghai 200433, China
    4. The tenth team of student brigade, Navy Medical University, Shanghai 200433, China
  • Received:2018-04-08 Published:2019-04-25
  • Corresponding author: Wei Zhang
  • About author:
    Corresponding author: Zhang Wei, Email:
引用本文:

刘启志, 洪永刚, 施洪, 徐怡, 白辰光, 王忠昊, 陶正博, 郝立强, 张卫. 水囊扩张法3D经直肠腔内超声在低位直肠癌术前分期中的应用[J/OL]. 中华结直肠疾病电子杂志, 2019, 08(02): 135-138.

Qizhi Liu, Yonggang Hong, Hong Shi, Yi Xu, Chenguang Bai, Zhonghao Wang, Zhengbo Tao, Liqiang Hao, Wei Zhang. The preoperative value of 3D endorectal ultrasonography with water balloon dilatation in low rectal cancer[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(02): 135-138.

目的

评价水囊扩张法3D经直肠腔内超声(ERUS)检查在低位直肠癌术前分期中的灵敏度和特异度。

方法

采用水囊扩张法对海军军医大学附属长海医院收治的72例低位直肠癌患者行术前腔内超声检查,进行术前T分期,并与手术后病理T分期进行比较,分析超声术前分期的灵敏度、特异度、过深分期和过浅分期百分比。

结果

共72例患者入组,其中超声T1期直肠癌16例,T2期直肠癌23例,T3期直肠癌25例,T4期直肠癌8例。术前腔内超声诊断早期直肠癌T1、T2、T3、T4期诊断灵敏度和特异度分别为93.3%和96.5%,87.0%和93.9%,84.0%和91.5%,71.4%和95.4%。过深分期百分比为5.6%,过浅分期百分比为11.1%。

结论

水囊扩张法3D经直肠腔内超声检查对低位直肠癌术前分期和手术治疗具有重要的指导意义。

Objective

To evaluate the sensitivity and specificity of 3D endorectal ultrasonography (ERUS) with water balloon dilatation in preoperative staging of low rectal cancer.

Methods

Seventy-two cases of low rectal cancer treated in the Affiliated Changhai Hospital of Naval Military Medical University were examined by intraoperative ultrasonography before operation. Preoperative T staging was performed. The sensitivity and specificity of preoperative ultrasound T staging was compared to the pathological T staging. The degrees of overly deep and overly shallow stage were assessed.

Results

A total of 72 patients were enrolled in the study, including 16 cases of T1 rectal cancer, 23 cases of T2 rectal cancer, 25 cases of T3 rectal cancer, and 8 cases of T4 rectal cancer. The preoperative diagnostic sensitivity and specificity of ERUS in T1, T2, T3 and T4 rectal cancer were 93.3% and 96.5%, 87.0%and 93.9%, 84.0% and 91.5%, 71.4% and 95.4%, respectively. The percentage of overly deep stage was 5.6%, and the percentage of overly shallow stage was 11.1%.

Conclusion

3D endorectal ultrasonography with water balloon dilatation has important guiding significance for the preoperative staging and surgical treatment of low rectal cancer.

图1 不同T分期的直肠癌ERUS图像。1A:正常直肠壁呈5层"三明两暗"结构(自内向外第1层强回声为直肠黏膜与探头水囊贴合形成,第2层低回声对应直肠黏膜肌层,第3层强回声与直肠黏膜下层向对应,第4层低回声与直肠固有肌层一致,第5层强回声对应于直肠外膜);1B:T1期直肠癌;1C:T2期直肠癌;1D:T3期直肠癌
表1 直肠癌术前腔内超声诊断与术后病理诊断T分期对照结果(例)
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