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随着超声波内镜的应用,胃粘膜下肿瘤的诊断率日益提高。本文旨在讨论内镜诊断胃粘膜下肿瘤的现状。病例:作者自1975年至1988年12月间,经内镜检查发现247例共354个胃粘膜下肿瘤。7例病灶在内镜下切除,经病理组织学诊断证实,计5个炎症性纤维样息肉,2个错构瘤型息肉。另有手术发现的45例45个胃粘膜下肿瘤,其手术与病理所见相符,计有平滑肌肉瘤18个、平滑肌母细胞瘤8个、平滑肌瘤2个、类癌7个、异位胰3个、脂肪瘤1个、炎症性纤维息肉2个、静脉瘤2个、血管瘤1个以及粘膜下脓肿1例。在胃部的分布最多为C区42.5%,M区40%,A区17.5%。
With the application of ultrasound endoscopy, the diagnostic rate of gastric submucosal tumors is increasing. This article aims to discuss the status of endoscopic diagnosis of gastric submucosal tumors. Case: From 1975 to December 1988, the authors found 247 cases of 354 gastric submucosal tumors by endoscopy. Seven lesions were resected under endoscope. Histopathological diagnosis confirmed that five inflammatory fibroid polyps and two hamartoma polyps were included. There were 45 cases of 45 gastric submucosal tumors found by surgery. The operation and pathology were consistent with the findings. There were 18 leiomyosarcomas, 8 smooth myoblastomas, 2 leiomyomas, 7 carcinoids, and ectopic pancreas. 3, 1 lipoma, 2 inflammatory fiber polyps, 2 venous tumors, 1 hemangiomas, and 1 submucosal abscess. The distribution in the stomach was up to 42.5% in area C, 40% in area M, and 17.5% in area A.