对直径小于2cm的上消化道良性肿物超声微探头检查随诊分析

Follow-up survey of micro-probe endoscopic ultrasonography in upper gastrointestinal benign tumor diameter less than 2 cm

目的 了解直径＜2 cm的上消化道良性肿物：囊肿、平滑肌瘤、异位胰腺、脂肪瘤的大小变化情况,确定内镜随诊时间或是否需要治疗.方法 对超声微探头检查发现的116例上消化道良性肿物的部位、病变层次、超声特点及经过6～ 100个月（平均23.6个月）的随访情况进行分析.结果 囊肿17例、平滑肌瘤77例、异位胰腺7例、脂肪瘤15例,经过6个月以上超声内镜随诊,只有1例出现增大,115例无变化.结论 直径＜2 cm的上消化道良性肿物短期内不会明显增大,2年内不需要内镜随诊和治疗.

Objective To explore the tumor size changes of upper gastrointestinal benign tumor diameter less than 2 cm ： cyst, leiomyma, heterotopic pancreas, lipoma, and to define the follow-up time of endoscope or whether a treatment is necessary. Methods One hundred and sixteen cases of upper gastrointestinal benign tumors＇ localization, lesion hi- erarchy, ultraphonic characteristics and the follow-up survey results within 6 - 100 months （ mean 23.6 months） by mi- cro-probe endoscopic ultrasonography were analyzed. Results There were 17 cases of cysts, 77 cases of leiomyma, 7 cases of heterotopic pancreas, 15 cases of lipoma. After more than 6 months of endoscopic ultrasound follow-up, only one patient showed benign tumor volume increase, 115 cases indicated no variance. Conclusion There is no significant increase in upper gastrointestinal benign tumor diameter less than 2 cm and no necessary for treatment, endoscope fol- low-up within two years.