| 查正伟,郑吉顺,彭琼.微型小探头超声内镜在消化道隆起性病变中的诊断价值[J].安徽医药,2017,21(7):1258-1261. |
| 微型小探头超声内镜在消化道隆起性病变中的诊断价值 |
| Value of miniprobe endoscopic ultrasonography in diagnosing theprotrusion lesions of digestive tract |
| 投稿时间：2016-10-12 |
| DOI： |
| 中文关键词: 微型小探头超声内镜 隆起性病变 诊断 |
| 英文关键词: Miniprobeendoscopic ultrasonography Protrusion lesion Diagnosis |
| 基金项目: |
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| 摘要点击次数: 2033 |
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| 中文摘要: |
| 目的 探讨微型小探头超声内镜(MPS)在消化道隆起性病变中的诊断价值。 方法 对常规内镜检查提示存在消化道隆起性病变的54例病人行MPS检查,了解隆起性病变来源的组织层次及性质。 结果 54例病人中发现60处消化道隆起性病变,其中食管隆起性病变17处,胃部隆起性病变34处,十二指肠病变4处,贲门1处,直肠3处,降结肠1处。起源于黏膜层病变25处,起源于黏膜肌层病变3处,起源于黏膜下层的病变15处,起源于固有肌层病变13处,腔外压迫性病变3处,全壁性病灶1处。初步诊断为息肉15处,平滑肌瘤5处,间质瘤13处,隆起糜烂2处,囊肿4处,静脉瘤3处,异位胰腺3处,脂肪瘤7处,类癌2处,血管球瘤1处,腔外压迫3处,淋巴瘤1处,Brunner′s腺增生1处。 结论 MPS对消化道隆起性病变的起源定位准确,并能提示病变的性质,为临床诊断与治疗提供依据。对易于混淆的病变,MPS不能代替病理而做出明确诊断。 |
| 英文摘要: |
| Objective To investigate the value of miniprobe endoscopic ultrasonography (MPS) in diagnosing theprotrusion lesions ofdigestive tract. Methods Fifty-four patients with the protrusion lesions of digestive tractindicated by routine endoscopy were performed by MPS examination to explore theorganization level and nature of the lesions. Results Of all 60 cases of digestive tract eminence lesions,there were 17 cases of esophageal lesions,34 cases of gastric lesions,4 cases of duodenal lesions,1 case of cardium lesions,3 cases of rectum lesions,and 1 case of decending colon lesions.There were 25 cases of lesions originated from the mucosal layer,3 cases from the mucosal muscular layer,15 cases from submucosal layer,13 cases from the intrinsic muscle layer,3 cases from external pressure,and 1 case of total wall lesions.Fifteen cases were initially diagnosed as polyp,5 cases as leiomyoma,13cases as stromal tumor,2 cases as inflammatory uplift,4 cases as cyst,3 cases as venous tumor,3 cases as ectopic pancreas,7 cases as lipoma,2 cases of carcinoid,1 case of glomus tumor,3 cases of external pressure,1 case of lymphoma,and 1 case of Brunner′s gland hyperplasia.Conclusions MPS can clearly show the level and structure of the digestive tract lesions,accurately locate the origin,indicate the nature of the lesion and provide the references for diagnosis and treatment.However,MPS cannot be replaced by pathology to make a clear diagnosis. |
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