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目的评价超声内镜(EUS)诊断胃隆起病灶的价值。方法采用 EUS、内镜、钡餐造影和CT 进行了比较研究。结果①123例胃隆起病灶的发生率为:粘膜下肿瘤>脾脏压迫>静脉曲张>息肉>肝脏肿瘤压迫>胆囊积液压迫>迷走胰腺。②对胃隆起病灶的总诊断符合率 EUS 为96.8%,明显高于内镜(65.9%)和钡餐造影(50.0%)。③EUS 对息肉的诊断符合率低于内镜,对迷走胰腺和静脉曲张的诊断则与内镜相当。④EUS 系目前确诊粘膜下肿瘤的最佳方法,发现的最小肿瘤仅0.5cm。结论 EUS 诊断胃隆起病灶具有较高的价值。
Objective To evaluate the value of endoscopic ultrasonography (EUS) in the diagnosis of gastric uplift lesions. Methods EUS, endoscopy, barium meal contrast and CT were compared. Results ① The incidence of gastric uplift in 123 cases was submucosal tumor> splenic compression> varicose vein> polyps> liver tumor compression> gallbladder effusion pressure> vagus pancreas. ② The total diagnostic coincidence rate of gastric uplift lesions EUS was 96.8%, significantly higher than endoscopy (65.9%) and barium meal (50.0%). ③EUS diagnosis of polyps lower than the endoscopic diagnosis of vagal pancreas and varicose veins and endoscopy is quite. ④ EUS is currently the best method of diagnosis of submucosal tumors, the smallest tumor found only 0.5cm. Conclusion EUS diagnosis of gastric uplift has a high value.