内镜超声检查术对十二指肠囊肿的诊断价值  

Endoscopic ultrasonography in diagnosis of duodena] cysts

作　　者：虞卫华[1] 许国强[1] 滕晓东[2] 胡凤玲[1] 顾青[3] 钟晓琪[3] 顾立英[3] 钱彩琴[3] 

机构地区：[1]浙江大学医学院附属第一医院消化科,杭州310003 [2]浙江大学医学院附属第一医院病理科,杭州310003 [3]浙江大学医学院附属第一医院消化内镜中心,杭州310003

出　　处：《中华消化内镜杂志》2010年第6期295-297,共3页Chinese Journal of Digestive Endoscopy

基　　金：浙江省医学科学研究基金（W10495）

摘　　要：目的 研究内镜超声检查术（EUS）对十二指肠囊肿的诊断价值.方法 分析十二指肠囊肿患者的临床表现,普通胃镜、EUS的结果和随访结果,研究总结该病的超声影像学特征.结果 105例十二指肠囊肿患者均无与病灶相关的症状,该病在超声内镜下具有特征性的影像学改变,即黏膜下病灶位于肠壁内,探头触压病灶易变形,内呈无回声状,边界清楚,源于黏膜下层,后方有回声增强效应,周围肠壁层次结构正常.EUS可明确病灶的起源、大小和性质并与其他黏膜下病变相鉴别.术后随访5年病灶无明显变化.结论 十二指肠囊肿属良性疾病,EUS对该病的诊断具有较好的临床价值.Objective To investigate the diagnostic value of endoscopic ultrasonography （EUS） for duodenal cysts. Methods Clinical manifestations, results of conventional gastroscopy and EUS, as well as follow-up, of patients with duodenal cysts were retrospectively analyzed. Results A total of 105 patients with duodenal cysts presented with no lesion-related symptoms, but displayed characteristic imaging changes under EUS, which could reveal the origin, size and nature of duodenal cysts, and differentiate it from other submucosal lesions. A maximum follow-up of 5 years showed no changes in duodenal cysts. Conclusion Duodenal cyst is a benign disease, and EUS plays a very important role in diagnosis of the disease.

关 键 词：内窥镜超声检查 十二指肠囊肿 诊断 治疗 

分 类 号：R574[医药卫生—消化系统]