CAJ | 학술논문

目的探讨超声内镜(EUS)检查对胃镜、结肠镜下发现黏膜下隆起性病变的诊断价值.方法对420例胃镜、结肠镜下提示消化道黏膜下隆起性病变行EUS检查患者的临床资料进行回顾性分析.结果 420例消化道黏膜下隆起性病变中,食管病变129例,胃部病变235例,十二指肠病变29例,结肠病变27例.发生于消化道管壁本身的病变占85.00％(357/420),其中黏膜下肿物占73.10％(307/420),并以间质细胞瘤和平滑肌源性肿瘤最为多见,占60.24％(253/420),消化道壁外压迫及未发现病变者占14.52％(61/420),侵犯消化道的壁外病变2例,占0.48％(2/420).结论 EUS检查能清楚显示消化道壁的层次结构,对消化道隆起性病变具有准确的定位作用,并能提示病变的性质;同时发现结肠黏膜下隆起性病变发生率最低,这可能与结肠的黏膜结构有关.
목적 탐토초성내경(EUS)검사대위경、결장경하발현점막하륭기성병변적진단개치.방법 대420례위경、결장경하제시소화도점막하륭기성병변행EUS검사환자적림상자료진행회고성분석.결과 420례소화도점막하륭기성병변중,식관병변129례,위부병변235례,십이지장병변29례,결장병변27례.발생우소화도관벽본신적병변점85.00％(357/420),기중점막하종물점73.10％(307/420),병이간질세포류화평활기원성종류최위다견,점60.24％(253/420),소화도벽외압박급미발현병변자점14.52％(61/420),침범소화도적벽외병변2례,점0.48％(2/420).결론 EUS검사능청초현시소화도벽적층차결구,대소화도륭기성병변구유준학적정위작용,병능제시병변적성질;동시발현결장점막하륭기성병변발생솔최저,저가능여결장적점막결구유관.
Objective To evaluate the diagnostic value of endoscopic ultrasonography(EUS) in the eminence lesions of gastrointestinal tract.Methods The clinical data of 420 patients with gastrointestinal eminence lesions subsequently received EUS were analyzed.Results In 420 cases,235 cases lesions were located in the stomach,129 cases in the esophagus,29 cases in the duodenum and 27 cases in the colon.Occurred in the wall itself of the digestive tract lesions was 85.00％ (357/420),and 73.10 ％(307/420) of submucosal neoplasm,and gastrointestinal stromal tumor,leiomyoma or leiomyosarcoma was seen [60.24％ (253/420)].Lesions was not found in the digestive tract wall external oppression and lesions accounted for 14.52％(61/420),external lesions and infiltrated digestive tract was 0.48％(2/420).Conclusions EUS is an ideal diagnostic modality in distinguishing different layers of the wall of the gastrointestinal tract,and thus of important value in precise localization of lesions beneath the mucosa.And be able to hint the nature of the lesion.Meanwhile,this may be associated with colonic mucous membrane structure.