CAJ | 학술논문

目的提高对食管结核的认识,并为食管结核的内镜、超声内镜诊断与鉴别诊断提供一定的依据.方法回顾性分析6年中39例食管结核患者的资料,分析归纳食管结核患者的内镜及超声内镜表现.结果 39例患者中位年龄为50.7岁；结核病变发生于食管中段29例,食管上段、下段各5例；内镜表现为隆起型30例,溃疡型9例；超声内镜表现为食管壁增厚9例,壁内占位17例,壁外占位累及食管13例；其中28例(78％)伴有食管旁及纵隔钙化淋巴结,且多数病变处食管外膜中断与壁外钙化淋巴结相互融合.结论食管结核病变主要位于食管中段,内镜下可表现为隆起型和溃疡型,超声内镜最主要特点是食管壁内或壁外占位或管壁的全层增厚,往往伴有食管壁外或纵隔多发肿大的钙化淋巴结,这一特点为食管结核的诊断及鉴别诊断提供初步的影像学依据.
목적 제고대식관결핵적인식,병위식관결핵적내경、초성내경진단여감별진단제공일정적의거.방법 회고성분석6년중39례식관결핵환자적자료,분석귀납식관결핵환자적내경급초성내경표현.결과 39례환자중위년령위50.7세；결핵병변발생우식관중단29례,식관상단、하단각5례；내경표현위륭기형30례,궤양형9례；초성내경표현위식관벽증후9례,벽내점위17례,벽외점위루급식관13례；기중28례(78％)반유식관방급종격개화림파결,차다수병변처식관외막중단여벽외개화림파결상호융합.결론 식관결핵병변주요위우식관중단,내경하가표현위륭기형화궤양형,초성내경최주요특점시식관벽내혹벽외점위혹관벽적전층증후,왕왕반유식관벽외혹종격다발종대적개화림파결,저일특점위식관결핵적진단급감별진단제공초보적영상학의거.
Objective To identify endoscopic and the endoscopic ultrasonography (EUS) features of esophageal tuberculosis.Methods We retrospectively analyzed the data of 39 cases (mean age 50.7) of esophageal tuberculosis diagnosed by endoscopy and EUS in past 6 years.Results A total of 29 lesions were found in the middle part of esophagus,and 5 in upper and lower part,respectively.The lesions under endoscope demonstrated as protrusion in 30 and ulceration in 9.EUS found esophageal wall thickness in 9 cases,intra-wall occupying lesion in 17,mediastinum occupying lesions involving esophagus in 13,and calcified lymph nodes in mediastinum which was integrated with esophageal outer wall in 28 cases.Conclusion The esophageal tuberculosis occurs mainly in the middle part of the esophagus,and appears as protrusion and ulceration under endoscopy.EUS can find occupying lesions intra-or out of the esophageal wall,and full layer thickness,which can accompany calcified lymph nodes in meidastinum,and can be the basis of diagnosis.