超声内镜在65例消化道隆起性病变中的诊断价值

The Diagnostic Value of EUS in 65 Cases of Protuberant Lesions in Gastrointestinal Tract

目的：探讨超声内镜（ endoscopic ultrasonography ，EUS）在消化道隆起性病变中的诊断价值。方法：普通内镜和EUS确诊消化道隆起性病变，通过病理学及免疫组化确诊。结果：平滑肌瘤8例，间质瘤27例，息肉17例，异位胰腺5例，脂肪瘤2例，血管瘤2例，囊肿1例，神经内分泌肿瘤1例，炎症2例。30例患者行EMR术，33例行ESD术，2例行内镜与腹腔镜联合治疗。术后病理诊断与超声内镜诊断符合率为90．7％（59/65）。结论：EUS能准确判断消化道隆起性病变的起源、范围及大小，对消化道隆起性病变治疗方案的选择具有重要的指导意义。

Objective：To investigate the value of EUS in diagnosis of protuberant lesions in gastrointestinal tract .Methods：Protuberant lesions in gastrointestinal tract were detected by gastroscope and EUS and were confirmed by pathology and immunohistochemistry .Re-sults：Among these patients were 8 cases leiomyoma , were 27 cases stromal tumors , were 17 cases polyps , were 5 cases heterotopic pan-creas , were 2 cases lipoma, were 2 cases hemangioma, were 1 case cyst, were 1 case neuroendocrine tumors and were 2 cases inflamma-tion.30 cases underwent EMR surgery , 33 cases underwent ESD surgery , and 2 cases underwent the combination of endoscopic and lapa-roscopic therapy.The diagnostic coincidence rate of pathologic and EUS was 90.7%（59/65）.Conclusion：EUS can accurately determine the scope , size and origin of protuberant lesions in gastrointestinal tract , and is important to guide select treating methods of protuberant le-sions in gastrointestinal tract .