胃镜及内镜超声在食管乳头状瘤诊治中的价值  

Values of gastroscopy and endoscopic ultrasonography in diagnosis and treatment of esophageal papilloma

作　　者：黄焕军[1] 郑要初[1] 程斌[1] 杨玉珍[1] 王南下[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院消化内科,湖北省武汉市430030

出　　处：《世界华人消化杂志》2009年第8期825-828,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨胃镜及内镜超声在食管乳头状瘤(esophageal papillomas,EP)诊治中的价值.方法:我院消化内镜中心2003-07/2008-10经内镜电切或活检标本病理证实EP患者49例,均行胃镜检查,其中24例行内镜超声检查,分析其常规胃镜表现、内镜超声声像图特征及其与病理和临床的关系.结果:49例行胃镜检查的EP病例多位于食管中下段(占89.8%),呈羽毛状或乳头状隆起,表面呈絮状或细颗粒状,色灰白,多为单发,大小0.3-0.6cm;24例行超声内镜检查的EP患者中有17例EUS诊断为食管乳头状瘤(占70.8%),6例EUS诊断为炎性增生或息肉(25%);其典型EUS声像图特征为起源于黏膜层的均匀等回声,边界清晰,向腔内突出.结论:EUS能清晰显示EP起源层次和侵犯深度,可用于判断其是否适合内镜下治疗.AIM： To explore the value of gastroscopy and endoscopic ultrasonography in diagnosis and treatment of esophageal papilloma. METHODS： Forty nine cases with esophageal papilloma confirmed by pathological examina- tion underwent gastroscopy and 24 of them un- derwent endoscopic ultrasonography. Then their manifestations of gastroscopy and endoscopic ultrasonography as well as the relationship be- tween the pathologic and clinical characteristics were analyzed. RESULTS： On gastroscopy, most lesions of EP cases were located at the middle or distal esoph- agus （89.8%）, assuming feather-like or corpora mammillaria-like bulge, with floccular or fine granular-like surface and grayish-white color,and most of the EP was single with diameter ranging from 0.3-0.6 cm. Of 24 cases undergoing endoscopic ultrasonography, 17 were diagnosed as EP （70.8%）, and 6 were diagnosed as inflam- matory proliferation or polypus （25%）. The clas- sic endosonographic characteristics were even iso-echoic with clear boundary originating from mucosa layer, protruding into the lumen. CONCLUSION： Esophageal papilloma is well displayed on endoscopic ultrasonography, which could be used to determine indications of endoscopy.

关 键 词：食管乳头状瘤 胃镜检查术 内镜超声检查术 病理 

分 类 号：R735.1[医药卫生—肿瘤] R735.2[医药卫生—临床医学]