超声内镜诊断和指导治疗直肠类癌的价值  

Value of endoscopic ultrasonography in diagnosis and guiding therapy for rectal carcinoid tumors

作　　者：金捷[1] 潘杰[1] 翁冬兰[1] 朱丽明[1] 

机构地区：[1]浙江省温州市第二人民医院消化内科,浙江温州325000

出　　处：《医学影像学杂志》2012年第4期604-605,共2页Journal of Medical Imaging

摘　　要：目的探讨超声内镜诊断及指导治疗直肠类癌的应用价值。方法收集21例结肠镜检出直肠类癌患者进行超声内镜检查,根据超声影像学特点诊断和指导内镜下粘膜切除术治疗。类癌超声特点结合术后病理。结果 21例类癌超声内镜特征为:来源于粘膜(7例)或粘膜下层(14例)的均匀低回声卵圆形肿块,边界清晰,有内镜下粘膜切除术(EMR)指征。21例内镜下粘膜切除术后病理证实类癌,切缘阴性。随访7～46个月无复发。结论超声内镜具有诊断和指导内镜下治疗直肠类癌的临床应用价值。Objective To investigate the value of endoscopic ultrasonography （EUS） in diagnosis and guiding therapy for rectal carcinoid. Methods Twenty-one patients diagnosed as rectal carcinoid by colonoscopy were accepted EUS examina- tion. EUS images of rectal carcinoid confirmed by pathology were analyzed to find out their characteristic features. The di- agnosis and guiding endoscopic mucosal resection （EMR） of rectal earcinoid by EUS were analyzed. Results The charac- teristic features of rectal carcinoid lesions were hypoechoic; seven of them were mucosal and 14 submucosal lesions; all of the lesions had well defined boundaries. Twenty-one patients had the indication of EMR. Conclusion EUS has the the value of EUS in diagnosis and guiding EMR for rectal carcinoid.

关 键 词：超声内镜 直肠类癌 诊断 治疗 

分 类 号：R445.1[医药卫生—影像医学与核医学]