消化道脂肪瘤的小探头内镜超声诊断  

The diagnostic value of miniprobe endoscopic ultrasonography in adipomas of digestive tract

作　　者：周明东[1,2] 仝巧云[1,2] 袁晋华[1,2] 张金敏[1,2] 宋秀海 

机构地区：[1]宜昌市三峡大学第一临床医学院 [2]宜昌市中心人民医院消化内科,湖北443003 [3]宜昌秭归县人民医院消化内科,湖北443600

出　　处：《影像诊断与介入放射学》2012年第2期144-146,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的认识消化道脂肪瘤的小探头内镜超声特征,提高对该病的内镜超声诊断率。方法收集30例具有完整病例资料并经病理证实的消化道脂肪瘤病例,所有病例均行常规胃肠镜检查及小探头内镜超声检查,并在内镜下行黏膜切除术,回顾性分析其内镜超声图像。结果 30例病理均证实为脂肪瘤,术前诊断脂肪瘤28例,纤维瘤1例,异位胰腺1例,内镜超声图像显示病变均来源于黏膜下层,脂肪瘤均为圆形或椭圆形,边界整齐、清晰,呈均匀一致的高回声,其中10例外侧缘显示不清;纤维瘤边界为梭形,呈稍高回声;异位胰腺形态欠规则,内部回声稍杂乱的中高回声。结论小探头内镜超声方便、无创伤,能较准确的诊断无症状胃肠小脂肪瘤,有助于鉴别诊断,避免过度治疗。Objective To cognize the characteristic of miniprobe endoscopic in the diagnosis of adipomas in digestive tract so that we can improve the diagnostic rate of this disease. Methods To collect clinicopathologic data of 30 patients with adipomas in digestive tract and then to take both endoscopic and miniprobe endoscopic with mucous membrane resection. At last to analyse the ultrasoundpattern. Results All of the 30 cases were confirmed as adipoma by pathological diagnosis. Among them, 28 cases were diagnosed uhrasonographlly as adipoma, 1 fibroma, 1 heterotopic pancreas. The 30 cases were performed endoscopic mucosa resection. All of the adipoma were clearly and trim in the form of tundity or ellipse which with high-level echo, and 10 cases with unclearly margo lateralis. The fibroma＇s verge was fusiformis with tallish high-level echo;the heterotopic pancreas was anomaly with mussy middling level echo. Conclusion Miniprobe endoscopic uhrasonography is convenient and safe which can exactly diagnose adipoma in digestive tract, and it can improve the diagnostic rate especially for patients who has small gastrointestinal adipoma but with no clinical svmotoms.

关 键 词：消化道病变 脂肪瘤 小探头内镜超声 

分 类 号：R735[医药卫生—肿瘤] R730.44[医药卫生—临床医学] R445.1