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线阵超声内镜对上消化道隆起性病变的诊断意义 被引量:2

Linear endoscopic ultrasonography of protrusion lesions of upper digestive tracts
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摘要 目的 提高上消化道隆起性病变的诊断及鉴别诊断能力。方法 对 13 3例上消化道隆起性病变患者进行内镜超声检查。结果 发现外压性改变 3 7例 ;黏膜及黏膜下肿瘤 96例 ,其中平滑肌瘤 68例 ,平滑肌肉瘤 1例 ,脂肪瘤 7例 ,异位胰腺 4例 ,食管囊肿 1例 ,广基息肉 15例。经病理证实 2 9例。结论 内镜超声检查能清楚显示消化道管壁的五层结构 ,对上消化道隆起做出正确诊断 。 Objective To increase the levels of diagnosis and differential diagnosis to the protrusion lesions of upper digestive tracts. Methods Total 133 patients suffering from protrusion lesions of upper digestive tracts were examined by endoscopic ultrasonography. Results There were 37 external compressive manifestations, 96 mucosal and submucosal tumors including 68 leiomyomas, 1 leiomyosarcoma, 7 lipomas, 4 ectopic pancreatic apertures, 1 esophageal cyst, 15 wide-basal polyps. In all these 133 patients, 29 lesions were confirmed pathologically. Conclusion The endoscopic ultrasonography can clearly show the five-layer structures of the wall of the digestive tracts and make proper judgement to the protrusion lesions of upper digestive tracts, but is less valuable to the differential diagnosis of benign and malignant submucosal tumors. [
出处 《中国医学影像技术》 CSCD 2004年第11期1696-1698,共3页 Chinese Journal of Medical Imaging Technology
关键词 内镜超声检查 黏膜下肿瘤 上消化道 Endoscopic ultrasonography Submucosal tumors Upper digestive tracts
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参考文献2

  • 1Aibe T,Fuji K,Okita K,et al. A fundamental study of normal layer structure of the gastrointestinal wall visualized by endscopic ultrasonograpphy[J]. Scand J Gastroenterol,1986,21(suppl 123):6-15.
  • 2Tio TL, Tytgat GNJ, Den Hartog Jager FCA. Endoscopic ultrasonography for the evaluation of smooth muscle tumors in the upper gastrointestinal tract: an experience with 42 cases[J]. Gastrointest Endosc,1990,36(4):342-350.

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