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目的报告和评价超声内镜(EUS)对上消化道病变的诊断价值。方法应用EUS检查上消化道病变198例,在EUS检查前均经胃镜检查并发现食管和胃内有隆起性病变或其他病变,但诊断未能确定。结果EUS检查的198例患者中发现食管平滑肌瘤46例。食管静脉瘤5例,食管间质瘤6例,食管外压8例,胃平滑肌瘤18例,胃间质瘤43例,胃脂肪瘤8例,胃息肉16例,异位胰腺7例,胃溃疡9例,胃癌8例,胃外压迫12例,未见明显异常者12例,部分病例经内镜摘除或外科手术证实。经EUS检查明确诊断的为182例(91.9%),而经内镜检查明确诊断的为120例(60.6%),P<0.05,证明EUS对上消化道隆起性病变的诊断优于内镜。结论EUS对上消化道病变,尤其是隆起性病变的诊断与鉴别诊断具有较高价值。
Objective To report and evaluate the value of endoscopic ultrasonography (EUS) in the diagnosis of upper gastrointestinal lesions. Methods 198 cases of upper gastrointestinal lesion were detected by EUS. All patients underwent endoscopy before the EUS examination and found to have bulging lesions or other lesions in the esophagus and stomach, but the diagnosis was not confirmed. Results EUS examination of 198 patients found in 46 cases of esophageal leiomyoma. 5 cases of esophageal varices, 6 cases of esophageal stromal tumors, 8 cases of esophageal pressure, 18 cases of gastric leiomyoma, 43 cases of gastric stromal tumors, 8 cases of gastric lipoma, gastric polyps in 16 cases, 7 cases of ectopic pancreas, 9 cases of gastric ulcer, 8 cases of gastric cancer, 12 cases of gastric pressure, no obvious abnormalities in 12 cases, some cases were confirmed by endoscopic removal or surgery. EUS confirmed a clear diagnosis of 182 cases (91.9%), while the endoscopic diagnosis of a clear diagnosis of 120 cases (60.6%), P <0.05, EUS diagnosis of upper digestive tract lesions superior to endoscopy. Conclusion EUS is of high value in the diagnosis and differential diagnosis of upper gastrointestinal lesions, especially the elevated lesions.