摘要
目的探讨内镜超声对食管黏膜下病变的诊断和治疗应用价值。方法回顾性研究2013年1月至2015年1月在中国医科大学附属盛京医院食管黏膜下病变行内镜下治疗的589例患者的临床资料，对其内镜超声特点及病理结果进行全面总结分析。结果食管黏膜下病变中，平滑肌瘤最常见，占总数93．2％（549／589），其他病理类型比较少见。食管平滑肌瘤EUS下表现为均质低回声肿块，边界清晰，起源管壁第二或四层。589例患者中内镜超声与病理诊断符合570例，不符合19例，诊断符合率为96．6％。结论内镜超声能准确清楚显示消化道壁的层次结构和壁外情况，判断消化道黏膜下病变的起源、范围及大小，并能够提示病变的性质，对进一步的治疗有指导意义。
Objective To investigate the value of endoscopic ultrasonography for the diagnosis and treatment of esophageal submucosal lesion. Methods Clinical data of 589 patients who underwent endoscopic treatment of esophageal submucosal lesion in Shengjing Hospital from January 2013 to January 2015 were re- viewed, and the characteristics of endoscopic ultrasonography and pathological findings in patients were ana- lyzed. Results In the esophageal subepthelial lesions, leiomyoma was the most common, accounting for 93. 2% （549/589）, other pathological types are rare. Endoscopic ultrasonography of esophageal leiomyoma showed homogeneous low echo mass, clear boundary,originated from the second or fourth layer of the wall. In 589 cases ,endoscopic ultrasound diagnosis was consistent with pathology in 570 cases, but not in 19 cases.The diagnostic consistency was 96. 6%. Conclusion Endoscopic uhrasonography can accurately and clearly show the layer of the digestive tract wall, the origin, range and size of subcutaneous lesions in the upper digestive tract, which indicates the nature of the lesions, and is of diagnostic value for further treatment.
出处
《中华消化内镜杂志》
北大核心
2016年第5期287-290,共4页
Chinese Journal of Digestive Endoscopy
关键词
治疗学
食管黏膜下病变
内镜超声检查术
病理类型
诊断符合率
Therapeutics
Esophageal submucosal lesion
Endoscopic uhrasonography
Pathological type
Diagnostic coincidence
