CAJ | 학술논문

目的探讨内镜超声检查(EUS)对食管平滑肌瘤的诊治价值.方法分析研究经EUS诊断为食管平滑肌瘤患者的临床表现及血清学、常规胃镜、EUS等检查结果.将EUS的诊断结果与内镜或手术切除的组织病理诊断结果进行比较.治疗后随访2～36个月,平均14.3个月,以观察疾病复发情况.结果 EUS诊断食管平滑肌瘤191例.患者的临床表现、血清学检查、常规胃镜和螺旋CT对食管平滑肌瘤无特异性诊断作用.116例分别接受内镜(111例)或外科手术(5例)摘除治疗,101例术后组织病理确诊为食管平滑肌瘤,EUS对该病的诊断准确率为87%.随访75例未治疗者和116例治疗者,发现前者病灶无明显变化,后者术后无复发.结论食管平滑肌瘤是一种良性肿瘤,EUS对该病的诊治具有较高的临床价值.
목적 탐토내경초성검사(EUS)대식관평활기류적진치개치.방법 분석연구경EUS진단위식관평활기류환자적림상표현급혈청학、상규위경、EUS등검사결과.장EUS적진단결과여내경혹수술절제적조직병리진단결과진행비교.치료후수방2～36개월,평균14.3개월,이관찰질병복발정황.결과 EUS진단식관평활기류191례.환자적림상표현、혈청학검사、상규위경화라선CT대식관평활기류무특이성진단작용.116례분별접수내경(111례)혹외과수술(5례)적제치료,101례술후조직병리학진위식관평활기류,EUS대해병적진단준학솔위87%.수방75례미치료자화116례치료자,발현전자병조무명현변화,후자술후무복발.결론 식관평활기류시일충량성종류,EUS대해병적진치구유교고적림상개치.
Objective To investigate clinical value of endoscopic ultrasonography (EUS) on diagnosis and treatment of esophageal leiomyoma.Methods The clinical feature of patients diagnosed as esophageal leiomyoma by EUS was analyzed.All patients underwent conventional gastroscopy and EUS examination as well as blood test.The EUS findings were compared with histopatholoical diagnosis for endoscopically or surgically resected specimens.All patients were followed-up with EUS for 14.3 months (range 2-36 months) for leiomyoma recurrence.Results A total of 191 patients were diagnosed with esophageal leiomyomas by EUS.Clinical manifestation,serum examination,conventional gastroscopy and spiral CT were not helpful for diagnosing esophageal leiomyoma,One hundred and sixteen patients with esophageal leiomyomas were treated by either endoscopic resection (111 cases) or surgical excision (5 cases).of which,101 resected specimens were pathologically confirmed as leiomyomas.The diagnostic accuracy of EUS was 87%.The follow-up study showed that there was no change of leiomyomas in 75 untreated patients and no recurrence was found in 116 surgically treated patients.Conclusion Esophageal leiomyoma is a benign tumor,EUS plays a very important role in diagnosis and treatment of this disease.