pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMUpmj-21Research ArticleМЕТОДИКАMETHODSEndoscopic ultrasonography in the differential diagnosis of pancreatic cystic lesionsСолодининаЕ. Н.SolodininaE. N.solodinina@gmail.ruСтарковЮ. Г.StarkovYu. G.noemail@neicon.ruЗамолодчиковР. Д.ZamolodchikovR. D.noemail@neicon.ruСолодининП. А.SolodininP. A.noemail@neicon.ruИнститут хирургии им. А.В. ВишневскогоРоссияA.V. Vishnevsky Institute of SurgeryRussian FederationМосковский научно-практический центр наркологииРоссияMoscow Research and Practical Centre for NarcologyRussian Federation201628032016017175Copyright © Солодинина Е.Н., Старков Ю.Г., Замолодчиков Р.Д., Солодинин П.А., 20162016Солодинина Е.Н., Старков Ю.Г., Замолодчиков Р.Д., Солодинин П.А.Solodinina E.N., Starkov Y.G., Zamolodchikov R.D., Solodinin P.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/21

Введение. Цель исследования - определение критериев и оценка значимости эндосонографии в дифференциальной диагностике псевдокист и кистозных опухолей поджелудочной железы. Материал и методы. Представлены результаты обследования и лечения 125 пациентов с кистозными новообразованиями поджелудочной железы. Проведен сравнительный анализ эффективности эндосонографии, ультразвукового исследования, компьютерной и магнитно-резонансной томографии. Результаты исследования. Чувствительность эндосонографии в диагностике кистозных опухолей - 91,4 %, специфичность -95,4 % и точность - 93,5 %, что превосходит эффективность других методов лучевой диагностики. Обсуждение полученных данных. В современной хирургической клинике при кистозных новообразованиях поджелудочной железы эндоскопическое ультразвуковое исследование, как уточняющий метод диагностики, должен применяться у всех пациентов на этапах обследования, планирования тактики лечения и выбора метода хирургического вмешательства.

Background. The differential diagnosis of pancreatic cystic lesions is still the most debatable issue in abdominal surgery. Among the cystic tumors the non-tumor lesions are often encountered in this region. Endoscopic ultrasonography is becoming of more importance in terms of diagnosis, treatment strategy and cure of patients with pancreatic cystic lesions. The aim of this study is to define diagnostic criteria and evaluate significance of the endoscopic ultrasonography in the differential diagnosis of pancreatic cystic lesions. Methods. 125 patients with pancreatic cystic lesions underwent the examination, including endoscopic ultrasonography, abdominal ultrasosonography, computed tomography, magnetic resonance imaging. A comparative analysis of efficiency of these methods was performed. Results. The sensitivity of the endoscopic ultrasonography is 91,4 %, specificity is 95,4 %, accuracy is 93,5 %. The efficiency of the endoscopic ultrasonography exceed other diagnostic methods. The main criteria in the differential diagnosis of pancreatic cystic lesions were defined. conclusions. The endoscopic ultrasonography should be use for complex evaluation of patients with pancreatic cystic lesions in multi-disciplinary surgical hospitals.

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The authors declare that there are no conflicts of interest present.