超声内镜对上消化道隆起性病变的诊断价值

Diagnostic value of endoscopic ultrasonography on upper gastrointestinal eminence lesions

目的评估超声内镜对上消化道隆起性病变的诊断价值。方法回顾性分析2010年7月至2016年8月于山西医科大学第一医院行超声内镜且经内镜治疗或活检明确病理性质的98例上消化道隆起性病变患者的临床病理资料。比较超声内镜诊断与内镜切除术后或活检后的病理诊断结果,计算超声内镜对上消化道病变性质和起源诊断的敏感性、特异性及准确率。结果超声内镜对上消化道隆起性病变判别的敏感性、特异性和准确率分别为89.80%、96.58%、96.16%;对病变起源判别的敏感性、特异性和准确率分别为97.96%、99.05%、98.44%。结论超声内镜对上消化道隆起性病变的诊断价值及病变起源的判断均较为准确,有助于指导上消化道隆起性病变内镜下诊断及治疗方式的选择。

Objective- To evaluate the diagnosiic value of endoscopic ultrasonography （ EUS ） on eminence lesions of upper gastrointestinal tract. Methods A retrospective analysis was made based on clinical data of 98 upper gastrointestinal eminence lesions patients from July 2010 to August 2016 in the First Affiliated Hospital of Shanxi Medical University. All patients were performed EUS and were treated with endoscope, or the lesions were identified by biopsy. EUS findings were compared with postoperative or biopsy pathological diagnosis. The sensitivity, specificity and accuracy of EUS diagnosis in property and layer origin of upper gastrointestinal eminence lesions were calculated. Results The sensitivity, specificity and accuracy of EUS diagnosis in upper gastrointestinal eminence lesions property were 89.80% ,96. 58% ,96. 16%. The sensitivity, specificity and accuracy of EUS diagnosis in layer origin of upper gastrointestinal eminence lesions were 97. 96%, 99. 05%, 98.44%. Conclusion EUS has value in the diagnosis of property of upper gastrointestinal eminence lesions, and has high accuracy of identifying the origin layer, which is helpful to choose diagnostic and therapeutic schedule of upper gastrointestinal eminence lesions under endoscopy.