小探头超声内镜在上消化道黏膜下病变中的应用价值  

Application value of endoscopic ultrasound with small probe in upper gastrointestinal submucosal lesions

作　　者：钟雄利 吴振华[1] 李景森[1] ZHONG Xiong-li;WU Zhen-hua;LI Jing-sen(Endoscopy Center,Maoming People’s Hospital,Maoming 525000,China)

机构地区：[1]茂名市人民医院内镜中心,广东茂名525000

出　　处：《广东医科大学学报》2023年第5期536-540,共5页Journal of Guangdong Medical University

基　　金：茂名市科技计划项目(2021062)。

摘　　要：目的 观察小探头超声内镜在上消化道黏膜下病变中的应用价值。方法 80例上消化道黏膜下病变患者先以小探头超声内镜检查,必要时结合CT检查,排除外压,再选择黏膜下病变切除,术后收集资料,评估超声小探头在上消化道黏膜下病变中的应用价值。结果 入组患者除1例超声内镜考虑外压未行手术治疗,其余病例均经内镜黏膜下剥离术、内镜经黏膜下隧道肿瘤切除术或内镜下全层切除术切除并获取病理。对比病理情况,小探头超声内镜诊断符合率为86.1%(68/79)。其中平滑肌瘤30例,诊断符合率为83.3%(30/36);间质瘤18例,诊断符合率为78.3%(18/23);异位胰腺符合病理诊断7例(7/8);囊肿4例、脂肪瘤4例、息肉2例、布氏腺增生1例、颗粒细胞瘤1例,均符合病理诊断结果。结论 小探头超声内镜对上消化道黏膜下病变分布、起源层次、诊断及病变治疗有积极意义。Objective To explore the application value of endoscopic ultrasound with small probe in upper gastrointestinal submucosal lesions.Methods A total of 80 patients with upper gastrointestinal submucosal lesions firstly underwent endoscopic ultrasound with small probe.If necessary,the external pressure was excluded combined with CT.Then the patients underwent submucosal lesion resection.The data was collected after operation to evaluate the application value of endoscopic ultrasound with small probe in upper gastrointestinal submucosal lesions.Results For all the patients enrolled,except for 1 case without surgical treatment due to external pressure in endoscopic ultrasonography,other cases underwent endoscopic submucosal dissection,submucosal tunneling endoscopic resection or endoscopic total excision to obtain pathological data.For the pathological comparison,the diagnostic accordance rate of endoscopic ultrasound with small probe was 86.1%(68/79).Among the patients,there were 30 cases of liomyoma,for which the diagnostic accordance rate was 83.3%(30/36);there were 18 cases of mesenchymoma,for which the diagnostic accordance rate was 78.3%(18/23);there were 7 cases(7/8) of heterotopic pancreas that were consistent with pathological diagnosis;and there were 4 cases of cyst,4 cases of lipoma,2cases of polyp,1 case of brucella gland hyperplasia,and 1 case of granulosa cell tumor that were consistent with pathological diagnosis.Conclusion Endoscopic ultrasound with small probe has positive significance for the lesion distribution,origin level,diagnosis and treatment of lesions of upper digestive tract eminence.

关 键 词：小探头 超声内镜 上消化道黏膜下病变 

分 类 号：R735[医药卫生—肿瘤]