CAJ | 학술논문

目的探讨超声内镜(EUS)对十二指肠间质瘤和脂肪瘤的鉴别诊断价值.方法回顾性分析44例经病理证实的原发性十二指肠间质瘤患者(30例)和脂肪瘤患者(14例)的内镜和EUS影像资料,分析比较两者在病变部位、大小、表面形态、起源层次及回声特征方面的异同.结果十二指肠间质瘤在病变起源层次、表面形态及回声特征方面与脂肪瘤有明显的不同(P＜0.05)；而在病变部位、大小上未见明显区别(P＞0.05).结论 EUS对十二指肠间质瘤和脂肪瘤具有重要的鉴别诊断价值.
목적 탐토초성내경(EUS)대십이지장간질류화지방류적감별진단개치.방법 회고성분석44례경병리증실적원발성십이지장간질류환자(30례)화지방류환자(14례)적내경화EUS영상자료,분석비교량자재병변부위、대소、표면형태、기원층차급회성특정방면적이동.결과 십이지장간질류재병변기원층차、표면형태급회성특정방면여지방류유명현적불동(P＜0.05)；이재병변부위、대소상미견명현구별(P＞0.05).결론 EUS대십이지장간질류화지방류구유중요적감별진단개치.
Objective To evaluate the value of endoscopic ultrasound (EUS) in differentiatied diagnosis for stromal tumour and lipoma in duodenal tract.Methods The EUS images of 44 cases of stromal tumour(30 cases) and lipoma( 14 cases) which were confirmed by pathological results were analyzed retrospectively.The location,size,layer of origin,margin,internal echo pattern and homogeniety of the lesion were recorded and compared.Results Compared with lipoma,stromal tumour showed a significant difference in the layer of origin,margin,internal echo and homogeniety ( P ＜ 0.05 ),but there was no statistical difference in the lesion location and size( P ＞0.05).Conclusions EUS is greatly helpful to the differential diagnosis of stromal tumour and lipoma in duodenal tract.