上消化道表面光滑型隆起性病变超声胃镜诊断临床意义  

Clinical diagnosis value of endoscopic uitrasonography in upper gastroin-testinal tract bulgy lesion with smooth surface

作　　者：韦炜[1] 施莉[1] 施晓英[1] 陈丹[1] 向华[1] 吴珍萍[1] 郭存果 

机构地区：[1]浙江省金华市人民医院消化科,浙江金华321000

出　　处：《中国现代医生》2015年第13期88-90,F0003,共4页China Modern Doctor

基　　金：浙江省金华市科学技术研究计划项目(2014-3-076);浙江省省级公益性技术应用研究计划项目(2014C33140)

摘　　要：目的评估超声内镜(EUS)诊断上消化道表面光滑型隆起性病变的价值。方法常规胃镜检查发现上消化道表面光滑型隆起性病变患者98例,予EUS检查与病理检查进行比较。结果超声内镜诊断息肉65例;间质瘤10例;平滑肌瘤5例;脂肪瘤7例;异位胰腺4例;囊肿2例;静脉瘤3例;胃外压性隆起2例。与病理检查的诊断符合率为93.68%。结论 EUS能准确判断上消化道表面光滑型隆起性病变的起源,并能较好地提示病变性质,对指导治疗、判断预后具有重要的意义。Objective To investigate the clinical diagnosis value of endoscopic ultrasonography （EUS） in upper gas-trointestinal tract bulgy lesion with smooth surface. Methods All 98 cases of patients with upper gastrointestinal tract bulgy lesion with smooth surface found by routine gastroscopy examination. They were examined by EUS and compared with pathologic examination. Results 65 cases were polypuse,10 cases were stromal tumor,5 cases were leiomyoma,7 cases were lipoma,4 cases were heterotopic pancrease,2 cases were cyst, 3 cases were venous aneurysm,2 cases were external pressure change. The diagnostic accordance rate of EUS and pathology examination were 93.68%. Con-clusion EUS can accurately determine the origin of upper gastrointestinal tract bulgy lesion with smooth surface. It is very important for treatment and evaluating prognosis.

关 键 词：超声内镜 诊断 隆起性病变 

分 类 号：R57[医药卫生—消化系统]