超声内镜诊断胃间质瘤与胃平滑肌瘤的价值  

Value of Endoscopic Ultrasonography in the Diagnosis of Gastric Stromal Tumor and Gastric Leiomyoma

作　　者：邓召亮 杨红梅 DENG Zhaoliang;YANG Hongmei(Department of Ultrasound,Shiquan County Traditional Chinese Medicine Hospital,Ankang Shaanxi 725200)

机构地区：[1]石泉县中医医院超声科,陕西安康725200 [2]西安市阎良区人民医院超声科,陕西西安710089

出　　处：《医学临床研究》2025年第2期232-234,共3页Journal of Clinical Research

摘　　要：【目的】探讨超声内镜诊断胃间质瘤与胃平滑肌瘤的价值。【方法】选取2017年7月至2023年7月本院收治的59例胃间质瘤患者(观察组),另选44例胃平滑肌瘤患者(对照组),术前均接受超声内镜检查。比较两组一般资料与超声内镜的特征(病变部位、大小、边界、起源层次、回声情况、有无黏膜桥、液化、钙化、溃疡),采用多因素Logistic回归分析明确胃发生间质瘤的危险因素。【结果】两组病变部位、边界、有无黏膜桥、液化、溃疡等指标比较,差异无统计学意义(P>0.05);对照组回声均匀、无钙化、边界清晰占比高于观察组,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,回声不均匀、有钙化、边界不清晰是发生胃间质瘤的危险因素(P<0.05)。【结论】超声内镜可用于胃间质瘤与胃平滑肌瘤的鉴别诊断,临床对回声不均匀、有钙化、边界不清晰的患者应予以密切关注,避免误诊、漏诊。【Objective】To investigate the value of endoscopic ultrasonography in the diagnosis of gastric stromal tumor and gastric leiomyoma.【Methods】A total of 59 patients with gastric stromal tumor(the observation group)and 44 patients with gastric leiomyoma(the control group)admitted to our hospital from July 2017 to July 2023 were selected.All patients underwent endoscopic ultrasonography before surgery.General data of the two groups were compared with endoscopic features(lesion site,size,boundary,origin level,echo,presence or absence of mucosal bridge,liquefaction,calcification,and ulcer),and the risk factors of gastric stromal tumor were determined by multivariate Logistic regression analysis.【Results】There was no significant difference in lesion site,boundary,mucosal bridge,liquefaction and ulcer between the two groups(P>0.05).The proportion of uniform echo,no calcification and clear boundary in control group was higher than that in observation group,and the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that the risk factors of gastric stromal tumor were uneven echo,calcification and unclear boundary(P<0.05).【Conclusion】Endoscopic ultrasound can be used in the differential diagnosis of gastric stromal tumor and gastric leiomyoma.Patients with uneven echo,calcification and unclear boundary should be paid close attention to avoid misdiagnosis and missed diagnosis.

关 键 词：胃肿瘤 间皮瘤 平滑肌瘤 内窥镜检查 胃肠道 

分 类 号：R735.2[医药卫生—肿瘤]