小探头内镜超声诊断上消化道隆起性病变161例临床分析  

Analysis of 161 cases with protuberant lesions in upper gastrointestinal tract with miniprobe endoscopic ultrasonography

作　　者：杜光红[1] 蔡王婷[1] 杨正兵[2] 

机构地区：[1]四川省医学科学院·四川省人民医院干部医疗科,四川成都610072 [2]四川大学华西医院消化内科内镜中心,四川成都610041

出　　处：《实用医院临床杂志》2013年第6期123-125,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨小探头内镜超声检查(miniprobe endoscopic ultrasonography,mEUS)对上消化道隆起性病变的诊断价值。方法对161例胃镜提示上消化道隆起性病变行mEUS检查,分析检查结果。结果 161例上消化道隆起性病变中,胃96例,食管42例,十二指肠17例,贲门6例。检出间叶源性肿瘤116例,异位胰腺7例,脂肪瘤3例,囊肿6例,血管性病变2例,炎症2例,消化道壁增厚2例,性质不明5例,外压性病变10例,未发现病变2例。结论 mEUS检查能够明确上消化道隆起病变的性质、起源层次及其与邻近组织结构的关系,对上消化道隆起病变的诊断、鉴别诊断具有一定的价值,为治疗方案的选择提供参考。Objective To evaluate the diagnostic value of miniprobe endoscopic ultrasonography （mEUS）for protuberant le-sions in the upper gastrointestinal tract. Methods One hundred and sixty-one cases with upper gastrointestinal protuberant lesions were examined by mEUS, and the resalts were analyzed. Results With mEUS,96 lesions were located in the stomach,42 cases in the esoph-agus, 17 cases in the duodenum and 6 cases in the cardia. Of the 161 lesions, 116 cases were uhrasonographally diagnosed as gastroin-testinal mesenchymal tumor （GIMT） ,7 etopic pancreas, 3 lipoma,6 cyst and 2 angioma in gastric fundus, 2 inflammation,2 gastrointes-tinal wall thinking,5 unknown, 10 compressive lesions and 2 normal. Conclusion mEUS examination can clarify the properties of pro-tuberant lesions of upper gastrointestinal tract, origin level and relationship to adjacent tissue structure. It is also valuable to diagnose and distinguish the upper gastrointestinal protuberant lesions and provides the reference for the choice of treatment.

关 键 词：小探头内镜超声 上消化道隆起性病变 诊断 

分 类 号：R735[医药卫生—肿瘤] R57[医药卫生—临床医学]