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目的评价超声内镜检查在消化道隆起性病变应用中的临床价值。方法用超声内镜及超声小探头检查126例消化道隆起性病变患者,其中105例行无痛超声内镜检查。结果息肉13例,癌4例,囊肿13例,血管瘤2例,异位胰腺2例,炎性隆起3例,胃黏膜异位2例,黏膜下肿瘤61例,壁外压迫14例,未见异常11例,均明确了病变起源层次。对部分病例进行内镜下或外科手术治疗,术后病理诊断与超声内镜诊断符合率92%。结论应用超声内镜检查可以明确上、下消化道隆起性病变的起源(定位)和初步诊断,对隆起性病变的治疗方案具有指导意义。
Objective To evaluate the clinical value of endoscopic ultrasonography in the diagnosis of digestive tract lesions. Methods A total of 126 cases of patients with digestive tract lesions were examined with endoscopic ultrasonography and sonotrode with 105 cases undergoing painless endoscopic ultrasonography. Results There were 13 cases of polyps, 4 cases of carcinoma, 13 cases of cysts, 2 cases of hemangiomas, 2 cases of ectopic pancreas, 3 cases of inflammatory bulge, 2 cases of gastric mucosal ectopic, 61 cases of submucosal tumor, 14 cases of wall compression, See abnormalities in 11 cases, all clear the origin of the disease level. In some cases endoscopic or surgical treatment, postoperative pathological diagnosis and endoscopic ultrasound diagnosis rate of 92%. Conclusion The application of endoscopic ultrasonography can confirm the origin and location of the upper and lower gastrointestinal uplift lesions and their preliminary diagnosis, which is of guiding significance for the treatment of elevated lesions.