造影增强超声内镜对上消化道及毗邻占位的诊断价值

Diagnostic value of contrast-enhanced ultrasound endoscopy for upper gastrointestinal tract and adjacent lesions

目的探讨造影增强超声内镜(CE-EUS)对上消化道及毗邻占位的诊断价值。方法收集广西医科大学第一附属医院2014年6月至2015年3月收治的上消化道及毗邻占位性病变180例,均进行CE-EUS检查,通过观察实性占位的血流灌注增强特征作出初步诊断,并与超声内镜引导下细针穿刺细胞学(EUS-FNA)和(或)组织病理学结果、胆道刷检细胞学涂片结果、手术病理结果、CT、磁共振成像(MRI)及随访结果的综合判断结果进行对比分析,全面总结分析各实性占位内镜超声造影特点。结果180例上消化道及毗邻占位中,CE-EUS与最终诊断符合169例,不符合11例,诊断符合率为93.9%。结论 CE-EUS可引导EUS-FNA穿刺,提高EUS-FNA阳性率。

Objective To investigate the diagnostic value of contrast-enhanced ultrasound endoseopy（CE-EUS） for the upper gastrointestinal tract and adjacent lesions. Methods One hundred and eighty samples of upper gastrointestinal tract and adjacent lesions in the First Affiliated Hospital of Guangxi Medical University from June 2014 to March 2015 were collected and performed CE-EUS. The preliminary diagnosis was taken by observing the features of various kinds of solid mass, which was conducted the eontrastive analysis with the results of fine needle aspiration eytology（EUS-FNA） and （or） histopathology, biliary brush cytology smear results,operative pathologic findings,and CT,MRI scans and follow-up results. Results In 180 cases of gastrointestinal tract and adjacent plaeeholder, 169 cases of CE-EUS were in line with the final results,while 11 cases were not consistent,and the diagnostic consistency rate was 93. 9%. Conclusion CE-EUS can guide EUS-FNA puncture for increasing its positive rate..