线阵式超声内镜对胃底隆起性病变的诊断和治疗应用价值分析  

Diagnostic and therapeutic value of linear endoscopic ultrasonography in the protrusion lesion of gastric fundus

作　　者：刘美红[1] 江堤[1] 苏剑东[1] 左海军[1] 廖素环[1] 刘思纯 

机构地区：[1]东莞东华医院消化内科,广东523110

出　　处：《齐齐哈尔医学院学报》2017年第21期2538-2540,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨线阵式超声内镜对胃底隆起性病变的诊断和治疗应用价值。方法回顾性研究2016年1月至2017年1月在东莞地区某三甲医院经胃镜诊断的151例胃底隆起性病变患者进行线阵式超声内镜检查,比较其起源、大小、回声、境界等,对排除外压性的胃底隆起性病变行内镜下治疗,对其病理结果进行全面总结分析。结果胃底隆起性病变中,间质瘤最常见,占总数51.7%(78/151),其次为平滑肌瘤,占22.5%(34/151),外压性隆起占总数15.9%(24/151)。其他病理类型比较少见。胃底间质瘤超声内镜下表现为均质低回声肿块,边界清晰,起源于管壁第二或四层。排除外压及静脉曲张的121例患者中内镜超声与病理诊断符合109例,不符合12例,诊断符合率为90.1%。结论线阵式超声内镜能准确清楚显示消化道壁的层次结构和壁外情况,判断消化道黏膜下病变的起源、范围及大小,并能够提示病变的性质,对进一步的治疗有重要指导意义。Objective To investigate the value of linear endoscopic ultrasonography in the diagnosis and treatment of protrusion lesion of gastric fundus.Methods 151 cases with protrusion lesion of gastric fundus were reviewed between January 2016 and January 2017 in a big hospital of Dongguan area,Guangdong. All cases underwent linear endoscopic ultrasonography,compare its origin,size,echo,realm,etc. gastric fundus lesions excluding external pressure underwent endoscopic treatment,and the characteristics of endoscopic ultrasonography and pathological findings in patients were analyzed. Results In the protrusion lesions of gastric fundus,gastrointestinal stroma tumors was the most common,accounting for 51.7%（ 78/151）,the second was leiomyoma,accounting for 22. 5%（ 34/151）,external pressure protrusion lesions accounting for 15. 9%（ 24/151）,other pathological types are rare. Endoscopic ultrasonography of gastric fundus gastrointestinal stroma tumors showed homogeneous low echo mass,clear boundary,originated from the second or fourth layer of the wall. In 121 cases,endoscopic ultrasound diagnosis was consistent with pathology in 109 cases,was not consistent in 12 cases,the diagnostic consistency was 90.1%.Conclusions Linear endoscopic ultrasonography can accurately and clearly show the layer of the digestive tract wall,the origin,range and size of subcutaneous lesions in the upper digestive tract,which indicates the nature of the lesions,and with important value for further treatment.

关 键 词：超声内镜 胃底隆起性病变 病理类型 诊断符合率 

分 类 号：R735.2[医药卫生—肿瘤]