小探头超声内镜对上消化道隆起性病变的诊断价值

Clinical diagnosis value of endoscopic miniprobe sonography on prominence lesions of upper gastrointestinal tract

目的:探讨小探头超声内镜(MPS)对上消化道隆起性病变的诊断价值。方法:用MPS对46例53个上消化道隆起性病变进行检查。结果:息肉22个,间质瘤12个,脂肪瘤4个,异位胰腺3个,囊肿3个,外压性改变3个,食管静脉曲张2个,胃黏膜脱垂2个,胃窦早癌1个,无病变者1例。部分选择治疗的病灶术后诊断与MPS诊断符合率为100.0%。结论:MPS对上消化道隆起性病变的诊断准确、安全、简便、无创,对指导治疗、判断预后具有重要的意义。

Objective：To evaluate the clinical diagnosis value of endoscopic miniprobe sonography（MPS） on prominence lesions of upper gastrointestinal tract. Methods： MPS was performed on 53 prominence lesions of upper gastrointestinal tract of 46 patients. Results：Twenty-two cases were polypuse, 12 cases were interstitialoma,4 cases were lipoma, 3 cases were heterotopic pancrease, 3 cases were cyst,3 cases were external pressure change,2 cases were esophageal varix,2 cases were prolapse of gastric mucosa, 1 case was early cancer located in gastric antrum, and 1 case was free of disease. The diagnostic accordance rate of MPS was 100% with the postoperative diagnosis in some lesions. Conclusions： MPS is an accurate, safe, convenient and noninvasive method to diagnose the prominence lesions of upper gastrointestinal tract. It is very important for treatment and evaluating prognosis.