CAJ | 학술논문

目的：探讨超声内镜（ endoscopic ultrasonography ，EUS）在消化道隆起性病变中的诊断价值。方法：普通内镜和EUS确诊消化道隆起性病变，通过病理学及免疫组化确诊。结果：平滑肌瘤8例，间质瘤27例，息肉17例，异位胰腺5例，脂肪瘤2例，血管瘤2例，囊肿1例，神经内分泌肿瘤1例，炎症2例。30例患者行EMR术，33例行ESD术，2例行内镜与腹腔镜联合治疗。术后病理诊断与超声内镜诊断符合率为90．7％（59/65）。结论：EUS能准确判断消化道隆起性病变的起源、范围及大小，对消化道隆起性病变治疗方案的选择具有重要的指导意义。
목적：탐토초성내경（ endoscopic ultrasonography ，EUS）재소화도륭기성병변중적진단개치。방법：보통내경화EUS학진소화도륭기성병변，통과병이학급면역조화학진。결과：평활기류8례，간질류27례，식육17례，이위이선5례，지방류2례，혈관류2례，낭종1례，신경내분비종류1례，염증2례。30례환자행EMR술，33례행ESD술，2례행내경여복강경연합치료。술후병리진단여초성내경진단부합솔위90．7％（59/65）。결론：EUS능준학판단소화도륭기성병변적기원、범위급대소，대소화도륭기성병변치료방안적선택구유중요적지도의의。
Objective:To investigate the value of EUS in diagnosis of protuberant lesions in gastrointestinal tract .Methods:Protuberant lesions in gastrointestinal tract were detected by gastroscope and EUS and were confirmed by pathology and immunohistochemistry .Re-sults:Among these patients were 8 cases leiomyoma , were 27 cases stromal tumors , were 17 cases polyps , were 5 cases heterotopic pan-creas , were 2 cases lipoma, were 2 cases hemangioma, were 1 case cyst, were 1 case neuroendocrine tumors and were 2 cases inflamma-tion.30 cases underwent EMR surgery , 33 cases underwent ESD surgery , and 2 cases underwent the combination of endoscopic and lapa-roscopic therapy.The diagnostic coincidence rate of pathologic and EUS was 90.7%(59/65).Conclusion:EUS can accurately determine the scope , size and origin of protuberant lesions in gastrointestinal tract , and is important to guide select treating methods of protuberant le-sions in gastrointestinal tract .