胃脂肪瘤的超声内镜诊断及治疗  

Diagnosis and treatment of gastric lipoma with endoscopic ultrasonography

作　　者：白艳[1] 郑晓永[1] 郭长青[1] 

机构地区：[1]郑州大学第一附属医院消化内科,郑州450052

出　　处：《郑州大学学报（医学版）》2012年第1期110-113,共4页Journal of Zhengzhou University(Medical Sciences)

摘　　要：目的:评价超声内镜用于诊断并治疗胃脂肪瘤的临床价值。方法:2005年至2011年胃镜检查发现的胃隆起性病变317例,经超声内镜检查,对初步诊断为胃脂肪瘤且直径小于2cm者行橡皮圈套扎联合高频电切,切除后的瘤体送病理检查。结果:317例胃隆起性病变中,超声内镜初步诊断胃脂肪瘤28例,其中24例(85.7%)经病理确诊。24例中直径小于2cm的胃脂肪瘤20例,经内镜引导下治疗,术后2个月复查胃镜,其中直径小于1.2cm的18例胃脂肪瘤完全消失,直径1.2～2.0cm的2例脂肪瘤部分残留,治愈率为90.0%。结论:超声内镜诊断胃脂肪瘤具有无创、准确的优点;超声内镜引导下橡皮圈套扎联合高频电切治疗直径小于1.2cm的胃脂肪瘤安全、有效。Aim：To assess the value of endoscopic ultrasonography（EUS） in the diagnosis and treatment of gastric lipoma.Methods：A total of 317 cases of protuberances diagnosed by stomach endoscopy from 2005 to 2011 were examined by EUS.Initial diagnosis and diameter less than 2 cm of gastric lipoma were treated by endoscopic elastic band ligation combined high frequency electrosection and the samples were sent for pathological examination.Results：Twenty-eight out of 317 cases were diagnosed as gastric lipoma by EUS,among which,24（85.7%） cases were diagnosed as lipoma by pathological examination.Gastric lipomas with diameter less than 2 cm（20 cases） were treated by endoscopic elastic band ligation combined high frequency electrosection,among which,18 cases with diameter less than 1.2 cm completely healed,and 2 cases with diameter larger than 1.2 cm had residual tumor by follow-up endoscopy after two months,and the cure rate was 90.0%.Conclusion：EUS is an effective method for diagnosing gastric lipoma,and it is non-invasive and accurate.Endoscopic elastic band ligation combined high frequency electrosection is efficient and safe for treating gastric lipoma with diameter less than 1.2 cm.

关 键 词：超声内镜 胃脂肪瘤 橡皮圈套扎 高频电切 

分 类 号：R734.204[医药卫生—肿瘤]