内镜超声下上消化道隆起性病变的诊断和治疗

Diagnosis and treatment of upper gastrointestinal tract protrusion lesions under endoscopic ultrasonography

目的:探讨内镜超声(EUS)对诊断和治疗上消化道隆起性病变的价值。方法:内镜超声诊断上消化道隆起病变779例:其中食管288例,贲门41例,胃394例,十二指肠病变43例。结果:EUS诊断上消化道隆起病变,食管以平滑肌瘤最多见,贲门和胃多见息肉,胃肠间质瘤多以固有肌层低回声为主。内镜下治疗525例,外科手术57例。结论:EUS为上消化道隆起性病变患者提供了更精确的诊断和更安全的内镜治疗。

Objective：To investigate the value of endoscopic ultrasonography （EUS） in the diagnosis and treatment of the upper gastrointestinal tract protrusion lesions. Methods： A total of 779 patients with protrusion lesions in upper gastrointestinal tract underwent the EUS examination. Of the 779 lesions, 228 were located in esophagus, 42 in eardia, 394 in stomach and 43 in duodenal. Results： The lesions in esophagus were mostly leiomyom and those in eardia and stomach were mostly polyp. Most gastrointestinal stromal tumors showed low echo -level areas in museularis propria under EUS. A total of 535 patients received endoscopic therapy, and 57 patients underwent surgical treatment. Conclusion： EUS can provide more accurate diagnosis and safe endoscopic therapy for patients with upper gastrointestinal tract protrusion lesions.