摘要
目的探讨经内镜微探头超声检查对结直肠黏膜下肿瘤的诊断价值。方法应用微探头对结直肠黏膜下肿瘤进行肠镜下超声检查。结果28例结直肠黏膜下肿瘤中,平滑肌瘤12例、脂肪瘤7例、直肠类癌3例、淋巴管瘤3例、恶性淋巴瘤1例、肠气囊肿症1例和直肠腔外黏液囊肿1例。其中1例较大的平滑肌瘤误诊为平滑肌肉瘤。结论经内镜微探头超声检查可以明确结直肠黏膜下肿瘤的大小、肠壁起源和边界,对黏膜下肿瘤的诊断有较高的准确率,同时能与腔外压迫性病变相鉴别。术前经内镜微探头超声检查可以为结直肠黏膜下肿瘤患者选择合适的治疗方案提供指导。
Objective To assess the value of ultrasonic probe (USP) in the diagnosis of submucosal tumor(SMT) of colorectum. Methods Twenty eight patients suspected with colorectal SMT received USP under colonoscope. The accuracy of diagnosis was evaluated. Results Twenty eight cases with colorectal SMT were diagnosed with USP under colonoscope, including leiomyoma(12 cases),lipoma(7 cases),rectal carcinoid (3 cases),lymphangioma(3 cases),malignant lymphoma (1 case), pneumatosis cystoids intestinalis (1 cases), mucous cyst outside the rectal wall(1 case). Compared with postoperative pathological results, correct diagnosis was made in 27 patients except one large leiomyoma misdiagnosed as leiomyosarcoma. Conclusions USP can diagnose colorectal SMT with high accuracy,and even provide information about the size,layer of origin,border of the tumor. Preoperative USP may play an important role in the choice of therapy for SMT of colorectum.
出处
《中华胃肠外科杂志》
CAS
2003年第1期18-20,共3页
Chinese Journal of Gastrointestinal Surgery
