论文部分内容阅读
[目的]总结上消化道病变的超声表现,探讨超声内镜在上消化道疾病中的临床应用价值。[方法]应用超声内镜检查上消化道病变患者83例,并分析其检查结果。[结果]83例87种病变上消化道疾病中:1隆起型病变63例(72.4%),常见的隆起型病变有:息肉36例(包括黏膜炎性增生)、黏膜下肿瘤20例、静脉球3例、壁外压3例、异位胰腺1例;2凹陷性病变13例(14.9%);3临近脏器病变5例(5.7%),包括胰腺及淋巴结恶性肿瘤转移4例、胰腺炎1例;4恶性肿瘤6例(6.8%)。取病理18例,诊断符合率100%。[结论]超声内镜可以初步诊断黏膜隆起型病变、黏膜下肿物、凹陷性病变、临近脏器病变的性质,为治疗方式的选择提供依据。
[Objective] To summarize the ultrasonographic findings of upper gastrointestinal lesions and investigate the clinical value of endoscopic ultrasonography in upper gastrointestinal diseases. [Methods] 83 cases of upper gastrointestinal diseases were diagnosed by ultrasound endoscopy and the results were analyzed. [Results] 83 cases of 87 kinds of lesions in upper gastrointestinal diseases: 1 bulging lesions in 63 cases (72.4%), common bulging lesions are: polyps in 36 cases (including mucosal inflammatory hyperplasia), submucosal tumors in 20 cases, 3 cases of ball, 3 cases of wall pressure, 1 case of ectopic pancreas; 2 cases of pitting lesions in 13 cases (14.9%); 3 cases of adjacent organs in 5 cases (5.7%), including pancreas and lymph node metastasis in 4 cases, Inflammation in 1 case; 4 malignant tumors in 6 cases (6.8%). Take pathological 18 cases, the diagnostic coincidence rate of 100%. [Conclusion] Ultrasound endoscopy can diagnose mucosal hyperplastic lesions, submucosal tumors, degenerative lesions and the characteristics of the lesions near the organs, and provide the basis for the choice of treatment modalities.