超声内镜对2886例上消化道隆起性病变诊断和治疗价值分析  

The value of diagnosis and therapy of endoscopic ultrasonography for submucosal protrusion lesion of upper gastrointestinal tract in 2886 cases

作　　者：于洪波[1] 戴林[1] 李爱萍[1] 李军婷[1] 白成[1] 陈慧群[1] 张旭艳[1] 刘云[1] 

机构地区：[1]解放军大连210医院消化内科,辽宁大连116021

出　　处：《胃肠病学和肝病学杂志》2015年第12期1437-1439,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨上消化道病变超声内镜检查与治疗的临床价值。方法收集解放军大连210医院1999年1月-2014年2月2 886例上消化道病变患者,采用FUJNON SP-701型小探头超声内镜(频率为12 MHz、15 MHz),纵轴电子线阵扇扫,记录病灶超声内镜(endoscopic ultrasonography,EUS)检查的声像学特征。结果病变部位:食管1 194例,贲门116例,胃1 376例,十二指肠200例。病变种类:包括平滑肌瘤、恶性间质瘤、息肉、囊肿、脂肪瘤、异位胰腺、血管瘤、肿瘤和外压性病变,EUS依据不同回声和起源予以诊断。结论 EUS是诊断上消化道隆起性病变的首选方法,对内镜下治疗隆起性病变具有指导意义,值得临床推广。Objective To investigate the value of diagnosis and therapy of endoscopic ultrasonography for submuco- sal protrusion lesion of upper gastrointestinal tract. Methods Two thousand eight hundred and eighty-six cases of upper gastrointestinal lesions from Jan. 1999 to Feb. 2014 in PLA NO. 210 Hospital were collected, FUJNON SP-701 type small probe endoscopic ultrasonography was used with frequency of 12 MHz and 15 MHz, vertical axis electronic line ar- ray fan,and audio-visual learning characteristics of EUS of lesions were recorded. Results Diseased region ： there were 1 194 cases of esophageal, 116 cases of cardia, 1 376 cases of stomach and 200 cases of duodenal. Lesions categories were leiomyoma, malignant stromal tumor, polyp, cyst, lipoma, ectopic pancreas, tumor, and outside pressure lesions, EUS diagnosis accorded to different echo and origins. Conclusion EUS is the preferred method for the submucosal pro- trusion lesions of upper gastrointestinal tract, and EUS has guiding significance for the choice of treatment, which is worth clinical promotion.

关 键 词：超声内镜 隆起性病变 上消化道 内镜治疗 

分 类 号：R57[医药卫生—消化系统]