术前标识在胃小隆起性病变超声内镜检查中的应用  

Application of Preoperative Marking in Endoscopic Ultrasonography of Small Gastric Bulge Lesions

作　　者：尚华[1] 王涛[2] 兰永廷[1] 黄坤明[1] 孙胜楠 李敏[1] SHANG Hua;WANG Tao;LAN Yong-ting(Department of Gastroenterology,ZiboCentral Hospital,Zibo,Shandong,255036,China)

机构地区：[1]淄博市中心医院消化内科,山东淄博255036 [2]淄博市中心医院普外科,山东淄博255036

出　　处：《黑龙江医学》2022年第14期1669-1671,共3页Heilongjiang Medical Journal

基　　金：山东省淄博市重点研发计划(2020ZC010117)。

摘　　要：目的:探讨术前采用黏膜负压吸引导致病变表面或周围黏膜发红出现红印进行术前标识的方法在胃小隆起性病变超声内镜检查中的价值。方法:回顾性分析于2017年1月—2019年12月淄博市中心医院收治的236例接受超声内镜检查的胃小隆起性病变患者的临床资料,115例进行术前标识,121例未标识,对比超声内镜检查操作时间和病变检出率。结果:两组患者中性别、年龄、病变部位组间差异无统计学意义(χ^(2)=0.340,t=0.5974,χ^(2)=0.693,P>0.05)。术前标识组超声内镜检查操作时间(3.46±2.14)min,未标识组(4.71±3.45)min,差异有统计学意义(t=10.669,P<0.01);术前标识组首次超声内镜检查病变检出率97.39%(112/115),未标识组90.91%(110/121),差异有统计学意义(χ^(2)=4.440,P<0.05)。结论:采用黏膜负压吸引出现红印的术前标识方法可缩短超声内镜检查操作时间,提高病变检出率,值得进行推广。Objective:To evaluate the clinical value of preoperative mark by using negative pressure of mucous membrane to attract redness on or around the surface of the lesions for endoscopic ultrasonography in diagnosis of gastric protuberant lesions.Methods:The clinical data of 236 patients with small gastric bulge lesions who underwent endoscopic ultrasonography in the hospi⁃tal from January 2017 to December 2019 were retrospectively analyzed.Preoperative marking was performed in 115 cases and un⁃marked in 121 cases.The operation time and lesion detection rate of endoscopic ultrasonography were compared.Results:There were no statistically significant differences in gender,age,and lesion site between the two groups of patients(χ^(2)=0.340,t=0.5974,χ^(2)=0.693,P>0.05).The operation time of endoscopic ultrasonography was(3.46±2.14)min in the preoperative marked group and(4.71±3.45)min in the unmarked group,and the difference was statistically significant(t=10.669,P<0.01).The lesion detection rate of the first endoscopic ultrasonography was 97.39%(112/115)in the preoperative marked group and 90.91%(110/121)in the unmarked group,with statistically significant difference(χ^(2)=4.440,P<0.05).Conclusion:The preoperative labeling method with red marks on mucosal suction can shorten the operation time of endoscopic ultrasonography and improve the detection rate of le⁃sions,which is worthy of promotion.

关 键 词：超声内镜 内镜检查术 胃隆起性病变 超声微探头 术前标识 

分 类 号：R573[医药卫生—消化系统]