超声内镜诊断胃底隆起性病变

Evaluation of endoscopic ultrasonography in the diagnosis of eminent lesions of gastric fundus

目的 评价内镜超声检查（ＥＵＳ）对胃底隆起性病变的诊断价值。方法 对５９例内镜诊断为胃底隆起性病变者进行ＥＵＳ检查。结果５９例患者中３３例为胃外压迫（其中２９例为脾压胃；２例为肾压胃；１例为肝左叶压胃；１例为升主动脉瘤压胃）；１５例为平滑肌瘤；９例为孤立性胃底静脉曲张；２例为炎性息肉。ＥＵＳ能根据病灶起源，组织内部结构是否均匀，病灶的回声水平等作出较为准确的判断。结论ＥＵＳ对胃底隆起性病变有较大的鉴别诊断价值。

Objective To evaluate the endoscopic ultrasonography (EUS) in diagnosis of em- inent lesion of gastric fundus. Methods Fifty nine patients with eminent lesions of gastric fundus were examined by EUS. Results Thirty three patients were proved to be extra- gastric compressions (29 spleen compressions, 2 kidney compressions, 1 left lobe of liver compression, 1 ascending aortic aneurysm compression); 15 patients leiomyomas; 9 patients solitary varicosity of gastric fundus; 2 patients inflm- matory polyp. EUS can make quite accurate judgement from the findings of histological structure, focal origin and echo level. Conclusion EUS possesses its unique value in the diagnosis of eminent lesions of gastric fundus.