超声内镜在光滑型食管隆起性病变中的诊断价值  

Role of endoscopic ultrasonography in the diagnosis and treatment of smooth esophageal protuberant lesions

作　　者：刘景华[1] 王进[1] 程鹏[1] 杨丽敏[1] 刘丽[1] 李山林[1] 刘利敏[1] 周永静[1] 

机构地区：[1]郑州大学第一附属医院消化内科,河南省郑州市450052

出　　处：《世界华人消化杂志》2010年第36期3910-3913,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨超声内镜在光滑型食管隆起性病变诊断和治疗中的应用.方法:对330例普通内镜发现的光滑型食管隆起性病变行超声内镜检查,对100例患者行内镜下黏膜切除术,8例行尼龙圈套扎,7例行外科手术治疗.结果:内镜下治疗均一次性完成,手术成功率100%.术后病理示:平滑肌瘤94例,间质瘤3例,海绵状血管瘤1例,颗粒细胞瘤1例,囊肿1例.术后病理与超声内镜符合率94%,且无出血、穿孔等并发症.2mo、1年、2年复查,无1例复发或转移.结论:超声内镜对光滑型食管隆起性病变具有较高的诊断价值,对内镜下治疗具有重要的指导意义.AIM：To investigate the role of endoscopic ultrasonography（EUS） in the diagnosis and treatment of smooth esophageal protuberant lesions.METHODS：Three hundred and thirty patients with smooth esophageal protuberant lesions were examined by EUS.Of these patients,100 were treated by endoscopic mucosal resection（EMR）,8 by loop ligature,and 7 by surgery.RESULTS：Endoscopic treatment was successful at one time in all cases,and the success rate was 100%.Postoperative pathology revealed leiomyoma in 94 cases,interstitialoma in three cases,cavernous hemangioma in one case,granular cell tumor in one case,and cyst in one case.The coincidence rate between endoscopic ultrasonography and pathology was 94%.No major complications such as hemorrhage and perforation occurred.No recurrence or metastasis occurred during 2-24-month follow-up.CONCLUSION：EUS has high value in the diagnosis and treatment of smooth esophageal protuberant lesions.

关 键 词：超声内镜 黏膜下肿瘤 内镜下黏膜切除术 

分 类 号：R571[医药卫生—消化系统]