CAJ | 학술논문

目的：评估超声内镜(EUS)诊断上消化道表面光滑型隆起性病变的价值。方法常规胃镜检查发现上消化道表面光滑型隆起性病变患者98例，予EUS检查与病理检查进行比较。结果超声内镜诊断息肉65例；间质瘤10例；平滑肌瘤5例；脂肪瘤7例；异位胰腺4例；囊肿2例；静脉瘤3例；胃外压性隆起2例。与病理检查的诊断符合率为93.68%。结论 EUS能准确判断上消化道表面光滑型隆起性病变的起源，并能较好地提示病变性质，对指导治疗、判断预后具有重要的意义。
목적：평고초성내경(EUS)진단상소화도표면광활형륭기성병변적개치。방법상규위경검사발현상소화도표면광활형륭기성병변환자98례，여EUS검사여병리검사진행비교。결과초성내경진단식육65례；간질류10례；평활기류5례；지방류7례；이위이선4례；낭종2례；정맥류3례；위외압성륭기2례。여병리검사적진단부합솔위93.68%。결론 EUS능준학판단상소화도표면광활형륭기성병변적기원，병능교호지제시병변성질，대지도치료、판단예후구유중요적의의。
Objective To investigate the clinical diagnosis value of endoscopic ultrasonography (EUS) in upper gas-trointestinal tract bulgy lesion with smooth surface. Methods All 98 cases of patients with upper gastrointestinal tract bulgy lesion with smooth surface found by routine gastroscopy examination. They were examined by EUS and compared with pathologic examination. Results 65 cases were polypuse,10 cases were stromal tumor,5 cases were leiomyoma,7 cases were lipoma,4 cases were heterotopic pancrease,2 cases were cyst, 3 cases were venous aneurysm,2 cases were external pressure change. The diagnostic accordance rate of EUS and pathology examination were 93.68%. Con-clusion EUS can accurately determine the origin of upper gastrointestinal tract bulgy lesion with smooth surface. It is very important for treatment and evaluating prognosis.