微探头内镜超声在上消化道隆起性病变诊断中的价值

Value of miniprobe endoscopic ultrasonography for diagnosing upper gastrointestinal protrusive lesions

目的探讨微探头内镜超声检查对上消化道隆起性病变的诊断价值。方法应用脱气水充盈法对62例上消化道隆起性病变患者进行微探头超声内镜检查。结果62例食管、胃十二指肠隆起性病变患者中,包括间质瘤28例,脂肪瘤3例,囊肿3例,异位胰腺5例,食管癌2例,胃癌4例,息肉6例,外压性病变6例,食管静脉瘤1例,胃炎4例;其中12例行内镜下切除,11例行手术治疗。内镜超声与病理的诊断符合率为91.3%。结论微探头内镜超声检查对上消化道隆起性病变有较高的诊断价值,且对内镜下治疗有临床指导意义。

Objective To investigate the value of miniprobe endoscopic ultrasonography （mEUS） in diagnosing the upper gastrointestinal protrusive lesions. Methods 62 patients with protrusive lesions of the esophagus, stomach, or duodenum were examined by mEUS using water - filling method. Results The present series included 28 cases of stromal tumor, 3 lipoma, 3 cyst, 5 ectopic pancrease, 2 esophageal cancer, 4 gastric cancer, 6 polyp, 6 protuberance from outside organ, 1 esophageal varix and 4 gastritis. 12 of the lesions were resected under endoscopy, and 11 patients were managed by surgery. The coincidence rate of diagnosis between mEUS and pathology was 91.3%. Conclusion mEUS is quite a valuable means for the diagnosis of upper gastrointestinal protrusive lesions ; its role in endoscopic therapy is also of clinical significance.