内镜超声检查对食管隆起性病变的诊断价值  

Diagnostic value of endoscopic ultrasonography for bulgy lesions of esophagus

作　　者：邓明明[1] 扬秀疆[2] 王煊[1] 刘苏[2] 陈果[1] 

机构地区：[1]四川泸州医学院附属医院消化内科,四川泸州646000 [2]上海第二军医大学长征医院消化内科,上海200003

出　　处：《中国内镜杂志》2006年第7期722-724,共3页China Journal of Endoscopy

摘　　要：目的探讨超声内镜对食管隆起性病变的诊断价值。方法对161例食管隆起性病变患者行内镜超声检查。结果发现黏膜下肿瘤92例,其中肌原性肿瘤86例,脂肪瘤4例,囊肿2例,息肉14例,静脉瘤(静脉曲张)34例;外压性改变21例,其中胸主动脉外压18例,纵隔肿瘤3例。结论内镜超声检查能较清楚地显示食管壁的5层结构,比较准确地判断隆起性病变与食管壁的关系,对食管隆起性病变的诊断、鉴别诊断和指导治疗均有很大价值。[Objective] To access the diagnostic value of endoscopic ultrasonography（EUS） for bulgy lesions of esophagus. [Methods] Endoscopic ultrasonography was performed in 161 patients with bulgy lesions of the esophagus. [Results] There were 92 patients with submucosal tumor （including 86 myogenic tumors, 4 lipomas, 2 esophageal cysts）; 14 patients with esophageal polyps; 34 patients with vein tumor （including veinix）, 21 protuberances from outsides organ （aorta, n =18; mediastinum tumor n =3）. [Conclusion] Five layers of esophageal wall can be distinguished clearly by EUS and identify the association between bulgy lesions and the larger esophageal wall and to define diagnosis, and treatment for bulgy lesions of the esophagus.

关 键 词：黏膜下肿瘤 食管 内镜超声检查 

分 类 号：R571[医药卫生—消化系统] R768.3[医药卫生—内科学]