小探头超声(MPS)检查在消化道疾病临床应用的初步探讨  

Preliminary study on the use of miniprobe sonography (MPS) in the diagnosis of gastrointestinal diseases

作　　者：诸琦[1] 袁耀宗[1] 徐家裕[1] 王枫钊[1] 江石湖[1] 吴云林[1] 赵培清[1] 

机构地区：[1]上海第二医科大学瑞金医院

出　　处：《中华消化杂志》1998年第3期133-135,共3页Chinese Journal of Digestion

摘　　要：目的传统内镜尚难对消化道粘膜隆起病灶的性质以及肿瘤浸润深度作出判断。本文旨在评估小探头超声（ＭＰＳ）检查在此方面的应用价值。方法对６０例（手术患者３９例）常规内镜检查发现病灶的患者，于内镜检查的同时行ＭＰＳ检查，其结果与常规内镜下的肉眼诊断、病理活检以及手术后病理结果作对比。结果对粘膜隆起病灶且内镜下病理活检阴性的患者，与手术发现比较。ＭＰＳ的诊断准确率为９０．５％（１９／２１）；而对于消化道肿瘤的浸润深度，ＭＰＳ的判断均与手术后结果相符１００％（２３／２３）。结论对消化道粘膜隆起病灶的性质鉴别，ＭＰＳ显著优于常规内镜及病理活检，具有一定临床诊断价值；对消化道肿瘤，ＭＰＳ仅对肿瘤浸润消化道壁的深度能作出准确判断，而对周围淋巴结累及与邻近脏器转移的诊断仍有其局限性。Obj ective It is still difficult to give the precise differentiation of elevated lesion of gastrointestinal mucosa and the depth of malignant lesion with conventional endoscopy and biopsy. The aim of this study is to assess the clinical value of the use of Miniprobe Sonography (MPS). Methods 60 cases (including 39 cases undergone surgery) of gastrointestinal diseases were examined by MPS in conj unction with endoscopic examination. The diagnosis by MPS was compared with macroscopic findings, endoscopic biopsy and surgical results. Results In cases of elevated lesion of gastrointestinal mucosa with negative biopsy, comparing with surgical findings, the diagnostic accuracy of MPS was 90.5 % (19/21); In cases of malignant lesion, findings of MPS with regard to the depth were in total concordance with that of surgical biopsy 100 % (23/23). Conclusion MPS is significantly superior to conventional endoscopy with pathological biopsy in the differentiation of elevated lesion of gastrointestinal mucosa and thus has important clinical value. But in the case of malignant lesion, only the depth of infiltration of gastrointestinal wall can be correctly assessed by MPS, it's value is limited to the identification of lymph nodes and distal metastases.

关 键 词：小探头 超声波诊断 消化道肿瘤 

分 类 号：R735.04[医药卫生—肿瘤]