小探头超声胃镜对上消化道病变的诊断价值  

Diagnostic Value of Endoscopic Miniprobe Sonography on Lesions of Upper Gastrointestinal Tract

作　　者：马医安 李继昌[1] 刘海霞[1] 吴育美[1] 王鸿轲 杨诚[1] 徐彩霞[1] 陈西洲[1] 

机构地区：[1]宝鸡市中心医院消化内科,陕西宝鸡721008

出　　处：《医学综述》2012年第19期3281-3284,共4页Medical Recapitulate

摘　　要：目的探讨小探头超声内镜(MPS)在上消化道病变中的临床应用价值。方法对经常规内镜检查提示消化道病变的302例患者行MPS检查,包括内镜发现的隆起性病变、溃疡以及糜烂怀疑癌变、内镜诊断肿瘤而病检不支持的患者,了解病变的性质及来源。结果超声微探头检查的302例患者中,食管病变76例,胃部病变178例,十二指肠病变48例。对于病变位于黏膜层至黏膜下层的患者均行病理活检或由外科术后确定病变性质及范围。结论 MPS可清晰地显示消化道壁的层次及结构,对上消化道病变的起源定位准确,并能提示病变的性质,为临床治疗提供依据。Objective To discuss the diagnostic value of endoscopic miniprobe sonography （MPS）in the lesions of upper gastrointestinal tract. Methods 302 patients with endoscopy indicated upper gastrointestinal tract disease received MPS, including uplift type lesions, ulcer and suspected cancerous tumors erosion, endo- scopic diagnosed tumor without pathological examination support etc. , to understand the nature and or/gln of the lesions. Results Among the 302 cases,76 cases of esophageal lesions, 178 cases of stomach problems and 48 cases of duodenal lesions. For lesions located in mucous membrane layer to submucosal, the nature and scope were determined by pathological biopsy or after surgical operation. Conclusion MPS can clearly show the level and structure of the digestive tract, accurately locate the origin, and indicate the nature of the lesion, providing references for clinical treatment.

关 键 词：小探头超声内镜 隆起性病变 上消化道 诊断 治疗 

分 类 号：R571[医药卫生—消化系统] R573[医药卫生—内科学]