经腹部超声诊断各胰腺癌的漏误诊因素分析
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摘要
目的研究造成腹部超声检查胰腺癌的漏诊和误诊的因素,为运用实践提供参照来增加超声在胰腺癌的诊断率,提高患者的康复率。方法选取40例胰腺癌患者作为研究对象,对其中出现的8例漏诊以及3例误诊患者的临床资料进行回顾性分析。结果 40例患者中共有8例患者出现了漏诊,3例患者出现了误诊,漏误诊发生率为27. 5%。结论超声检查作为诊断胰腺癌的手段,目前被广泛应用于胰腺癌的筛查和诊断中,但其也具有较高的漏诊率和误诊率,应当辅助其他方法进行共同诊断。
Objective To study the factors of missed diagnosis and misdiagnosis of pancreatic cancer by abdominal ultrasound,and to provide a reference for the use of practice to increase the diagnostic rate of ultrasound in pancreatic cancer and improve the rehabilitation rate of patients. Methods Forty patients with pancreatic cancer were enrolled in this study from June2013 to June 2016. The clinical data of 8 patients with misdiagnosis and 3 misdiagnosed patients were retrospectively analyzed.Results A total of 8 patients had missed diagnosis,and 3 patients had misdiagnosis and the incidence of missed misdiagnosis was 27. 5%. Conclusion Ultrasonography is a widely used method for the diagnosis and diagnosis of pancreatic cancer. It is also widely used in the screening and diagnosis of pancreatic cancer. However,it has a high rate of missed diagnosis and misdiagnosis.It should assist other methods in common diagnosis.
Objective To study the factors of missed diagnosis and misdiagnosis of pancreatic cancer by abdominal ultrasound,and to provide a reference for the use of practice to increase the diagnostic rate of ultrasound in pancreatic cancer and improve the rehabilitation rate of patients. Methods Forty patients with pancreatic cancer were enrolled in this study from June2013 to June 2016. The clinical data of 8 patients with misdiagnosis and 3 misdiagnosed patients were retrospectively analyzed.Results A total of 8 patients had missed diagnosis,and 3 patients had misdiagnosis and the incidence of missed misdiagnosis was 27. 5%. Conclusion Ultrasonography is a widely used method for the diagnosis and diagnosis of pancreatic cancer. It is also widely used in the screening and diagnosis of pancreatic cancer. However,it has a high rate of missed diagnosis and misdiagnosis.It should assist other methods in common diagnosis.
引文
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[2]姚豫桐,罗兰云,薛华.我国首例胰腺次全切除联合自体胰岛细胞移植治疗慢性胰腺炎临床分析[C].中国普外基础与临床杂志,2013,10(25):84-85.
[3]孙瑞,高晓丽,马悦霞.胆管、胰管扩张在超声诊断胰腺癌中的应用价值分析[J].中国现代药物应用,2016,10(13):60-61.
[4]朱姜.腹部超声检查胰腺癌的漏误诊分析[J].实用医学影像杂志,2016,17(5):447-448.
[5]孙雷.彩色多普勒超声对肿块型胰腺炎和胰腺癌的诊断价值[J].河北医药,2016,38(12):1816-1818.
[6]于航,杨爱明,姚方,等.内镜超声检查术的阴性预测值对排除胰腺癌的临床应用价值[J].中华消化内镜杂志,2016,33(2):77-79.
[7]韩洁,吕珂,姜玉新.超声造影在胰腺疾病诊断中的应用现状与进展[J].中华医学超声杂志(电子版),2014,11(1):87-88.