CAJ | 학술논문

目的：探讨微探头超声内镜（ mEUS）在上消化道隆起性病变中的诊断和治疗作用。方法：对71例上消化道隆起性病变的患者行微探头超声内镜检查，根据隆起性病变的起源层次，患者接受内镜下治疗、外科治疗或随访。结果：息肉8例，囊肿5例，异位胰腺3例，脂肪瘤4例，腔外压迫3例，黏膜下肿瘤48例，均明确了解了病变的起源层次。对部分患者行内镜下治疗、外科手术，术后病理诊断与超声诊断符合率达94%。结论：mEUS检查能明确上消化道隆起性病变的大小、起源层次，对治疗方案的选择有指导意义。
목적：탐토미탐두초성내경（ mEUS）재상소화도륭기성병변중적진단화치료작용。방법：대71례상소화도륭기성병변적환자행미탐두초성내경검사，근거륭기성병변적기원층차，환자접수내경하치료、외과치료혹수방。결과：식육8례，낭종5례，이위이선3례，지방류4례，강외압박3례，점막하종류48례，균명학료해료병변적기원층차。대부분환자행내경하치료、외과수술，술후병리진단여초성진단부합솔체94%。결론：mEUS검사능명학상소화도륭기성병변적대소、기원층차，대치료방안적선택유지도의의。
Toassessthevalueofminiatureprobeendoscopicultrasonography(mEUS)inthediagnosison prominence lesions of upper gastrointestinal tract. Methods:All 71 patients which had prominence lesions of upper gastrointesti-nal tract were detected by miniature probe endoscopic ultrasonography,some of which were subjected to endoscopic therapy, surgery operation or follow up according to the different driving layers. Results:Eight polypus,13 cystis,3 etopic pancreaces in stomach,4 lipomas,3 protuberance oppressed from outside organ,48 submucous tumors. Parts of the patients were treated by endoscopy or surgey operation,and the diagnostic coincidence rate of pathologic and miniature probe endoscopic ultrasonogra-phy was 94%. Conclusion:The size,layer of origin on prominence lesions of upper gastrointestinal tract can be distinguished by mEUS,which is important in the choice of therapy.