clinendoКлиническая эндоскопияFilin’s Clinical endoscopy2415-7813"Global Media technology" Ltd10.31146/2415-7813-endo-66-1-50-57clinendo-156Research ArticleЭНДОУЗИENDOEUSОценка диагностической значимости эндоскопической ультрасонографии в дифференциальной диагностике образований гепатопанкреатодуоденальной зоныAssessment of the diagnostic significance of endoscopic ultrasonography in the differential diagnosis of formations of the hepatopancreatoduodenal zoneАбильбековаБ. А.AbilbekovaB. A.noemail@neicon.ruХамитоваИ. М.KhamitovaI. M.noemail@neicon.ruЛарюшинаЕ. М.LaryushinaE. M.noemail@neicon.ruКГП на ПХВ «Павлодарская областная больница им. Г. Султанова»State Enterprise on the Right of Economic Management "Pavlodar Regional Hospital named after G. Sultanov"Многопрофильная больница №3 города КарагандыMultidisciplinary Hospital No. 3 of the city of KaragandaОбластная клиническая больница города КарагандыRegional Clinical Hospital of the city of Karaganda2024250120246615057Copyright © Абильбекова Б.А., Хамитова И.М., Ларюшина Е.М., 20242024Абильбекова Б.А., Хамитова И.М., Ларюшина Е.М.Abilbekova B.A., Khamitova I.M., Laryushina E.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://clinendo.elpub.ru/jour/article/view/156

Цель работы. Изучить структуру образований гепатопанкреатодуоденальной зоны (ГДЗ) по данным эндосонографической картины и оценить диагностическую информативность эндоскопической ультрасонографии (ЭУС) в диагностике данных образований по сравнению с ультразвуковым исследованием ГДЗ (УЗИ ГДЗ) и компьютерной томографией органов брюшной полости (КТ ОБП) с контрастированием. Материалы и методы. Проведен ретроспективный анализ медицинской документации 71 пациента с образованиями ГДЗ, проходивших стационарное лечение в отделении абдоминальной хирургии и обратившихся с диагностической целью в эндоскопический центр Многопрофильной больницы №3 г.Караганды для проведения ЭУС за период с января 2021 г. по декабрь 2022 г. Результаты и обсуждение. Чувствительность ЭУС в дифференциальной диагностике опухолей ПЖ, дилатации гепатикохоледоха, сосудистой инвазии и метастазирования в регионарные лимфатические узлы составила 85%, 94,12%, 64,71% и 100% соответственно, специфичность - 95,93%, 100%, 80%, и 92% соответственно. Заключение. Правильная оценка всех проявлений той или иной опухоли влияет на выбор тактики лечения, а следственно на его непосредственные и отдалённые результаты. ЭУС является эффективным методом дифференциальной диагностики псевдокист и кистозных опухолей ПЖ, опухолей большого дуоденального сосочка (БДС), а также образований желчевыводящих путей (ЖВП).

Purpose of the work. To study the structure of the hepatopancreaticoduodenal zone (HPD) masses according to the endosonographic picture and to estimate the diagnostic informativeness of endoscopic ultrasonography (EUS) in diagnostics of these masses in comparison with ultrasound examination of HPD (ultrasound of HPD) and computer tomography of abdominal cavity organs (CT of OBP) with contrasting. Materials and Methods. A retrospective analysis of medical records of 71 patients with GDZ masses who underwent inpatient treatment in the department of abdominal surgery and applied for diagnostic purposes to the endoscopic centre of Karaganda Multidisciplinary Hospital No.3 for EUS for the period from January 2021 to December 2022 was carried out. Results and discussion. Sensitivity of EUS in differential diagnostics of PG tumours, hepaticocholedochal dilatation, vascular invasion and metastasis to regional lymph nodes was 85%, 94,12%, 64,71% and 100% respectively, specificity - 95,93%, 100%, 80% and 92% respectively. Conclusion. Correct assessment of all manifestations of a tumour influences the choice of treatment tactics and consequently its immediate and long-term results. EUS is an effective method of differential diagnostics of pseudocysts and cystic tumours of PG, tumours of large duodenal papilla (LDP), as well as biliary tract neoplasms.

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