小探头超声内镜检查上消化道隆起病变34例分析

Clinical analysis of 34 cases of endoscopic miniprobe ultrasonography with protuberant lesions in upper gastrointestinal tract

目的探讨小探头超声内镜(MPS)对上消化道隆起病变的诊断价值。方法对经胃镜或上消化道钡餐检查发现的34例上消化道隆起病变患者行MPS检查。结果MPS检查的34例患者中,发现食管平滑肌瘤4例,食管癌1例,食管静脉瘤1例,胃底静脉曲张2例,胃息肉5例,胃平滑肌瘤5例,胃癌2例,胃淋巴瘤1例,胃异位胰腺2例,胃外压迫性病变4例,十二指肠球部息肉1例,十二指肠降部囊肿1例,未见明显异常5例。结论MPS检查能够明确上消化道隆起病变的性质、起源层次及邻近组织结构的关系,对上消化道隆起病变的诊断、鉴别诊断具有一定的价值。

[Objective] To evaluate the diagnostic value of endoscopic miniprobe ultrasonography （MPS） in the protuberant lesions of upper gastrointestinal tract. [Methods] 34 patients with upper gastrointestinal protuberant lesions were examined by MPS, Each of them received gastroscopy or X-ray barium meal examination firstly, but had no definite diagnosis. [Results] The diseases of 34 patients distributed as follows： 4 esophageal leiomyoma; 1 esophageal carcinoma; 1 esophageal venous aneurysm; 2 varices in gastric fundus; 5 gastricpolyp; 5 gastric leiomyoma; 2 gastric carcinoma; 1 gastric lymphoma; 2 etopic pancreases in stomach; 4 oppression from outside of stomach;1 duodenal polyp; 1 duodenal cyst; 5 patients with no obvious abnormality.[Conchtsions] MPS examination can clarify the relation among characteristics, origin level and adjacent tissue structure of upper gastrointestinal tract. It is also valuable to diagnose upper gastrointestinal protuberant lesions.