超声内镜在食道黏膜下隆起性病变的诊断及鉴别诊断中的应用  

Clinical application of miniprobe sonography in esophageal submucosal lesions

作　　者：江雪梅[1,2] 黄晓曦[1,2] 郑秀芳[1,2] 陈正义[1,2] 吕静[1,2] 云小余[1,2] 文丹[1,2] 刘英[1,2] 

机构地区：[1]海口市人民医院 [2]中南大学湘雅医学院附属海口医院消化内科,海南海口570208

出　　处：《海南医学》2013年第18期2688-2690,共3页Hainan Medical Journal

摘　　要：目的探讨小探头超声内镜在食道黏膜下隆起性病变中的临床诊断价值。方法收集海口市人民医院105例经小探头超声内镜诊断食管黏膜下隆起性病变的患者,结合内镜下治疗及病理结果,比较小探头超声在诊断及鉴别诊断各种食管黏膜下隆起性病变的价值。结果小探头超声能够清晰的分辨食管壁各层结构:由内向外分别为黏膜层、黏膜肌层、黏膜下层、有基层及浆膜层,超声内镜下依次表现高、低、高、低、高回声。常见的食道黏膜下隆起性病变为息肉、平滑肌瘤、静脉瘤、脂肪瘤、囊肿。超声内镜诊断与病理诊断的符合率分别为100%、85.7%、100%、100%、100%,因而能够指导食道黏膜下病变的治疗及判断预后。结论小探头超声内镜是诊断及鉴别诊断食管黏膜下隆起性病变病变的有效手段。Objective To evaluate the effect ofminiprobe sonography in the diagnosis and differential diag- nosis of esophageal submucosal lesions. Methods A total of 105 cases of submucosal lesions diagnosed by mini- probe sonography and treated with endoscopic treatment, were analyzed retrospectively. Results In the 105 cases esophageal lesions, esophageal polyp was the most common, followed by esophageal liomyoma, and esopha- geal cyst and phlebangioma. The consistence of nimiprobe sonography diagnosis and pathologic diagnosis for polyp, liomyoma, cyst, lipomyoma, phlebangioma, and external pressure lesions were 100%, 85.7%, 100%, 100% and 100%, respectively. Conclusion Miniprobe sonography is a useful method for the diagnosis of esophageal submucosal lesions, which is of great help to guide the treatment.

关 键 词：超声内镜 小探头超声 食道黏膜下病变 

分 类 号：R445.1[医药卫生—影像医学与核医学]