摘要
目的评价超声内镜对消化道隆起性病变的诊断价值及指导内镜下微创治疗消化道隆起性病变的疗效及安全性。方法对157例内镜下诊断为消化道隆起性病变进行超声内镜检查,其中36例进行内镜下治疗(套扎、电切、内镜下黏膜切除术、穿刺等),外科治疗19例。结果21例源于黏膜层的息肉、6例源于黏膜肌层的间质瘤、3例源于固有肌层的间质瘤及1例异位胰腺、1例食管囊肿、1例食管癌经内镜下治疗。3例囊肿行内镜下穿刺治疗。除1例术后出血外,其余手术都安全,无其他并发症出现。术后回访2～30个月无复发。结论超声内镜为内镜微创治疗选择隆起性病变适应证具有良好的指导作用,部分病变内镜下可安全有效地切除。
[Objective] To assess the value of endoscopic ultrasonography （EUS） in the diagnosis of protuberances in gastrointestinal tract, and its effect and safety of guiding the treatment by endoscopy. [Methods] 157 cases with protuberances diagnosed by endoscopy in gastrointestinal tract were examined by EUS. 36 cases were treated by endoscopic ligation, electrosurgical snare, endoscopic mucosal resection （EMR）, or a needle aspiration. [Results] 21 polypus derived from mucosa （m）, 6 stromal tumors from muscularis mucosa （mm）, 3 stromal tumors from proper muscle layer （pm）, 1 case of heterotopic pancrease, l case of oesophagus cyts and 1 case of oesophagus cancer were treated by endoscopy, And 3 cases of cysts were punctureed.19 cases were operated. Except for 1 case of post-operative bleeding, no other complications were found, No recurrence was found during the follow-up of 2-30 months. [Conclusions] EUS play an important role in the diagnosing and treatment of protuberances in gastroin-testinal tract. Some lesions are safely treated by endoscopy.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第3期243-245,248,共4页
China Journal of Endoscopy
基金
深圳市科技计划资助项目
编号:JH200505270450A
关键词
超声内镜
消化道隆起性病变
内镜治疗
ultrasonic endoscope
protuberances in gastrointestinal tract
endoscopic operation
