探讨内镜下超声微探头在诊治消化道粘膜下隆起病变的作用.docVIP

探讨内镜下超声微探头在诊治消化道粘膜下隆起病变的作 段云(河南省安阳市人民医院普内科455000) 【摘要】目的探讨和分析内镜下超声微探头在诊治消化道粘膜下隆起病变 的作用，以为临床医生诊断和治疗提供参考依据。方法对此次所收治的36例消 化道粘膜下隆起病变患者采用A镜下超声微探头检查，然后根据患者病变隆起大 小和性质等情况来选择切除方法。结果此次研究屮，消化道粘膜下隆起病变位 于黏膜下层以上且直径lt;2.0cm的患者为17例，并采用内镜下治疗，患者没有 出血和穿孔等情况发生。直径gt;2.0或者位于固有肌层以下的患者为19例，对 患者采用外科切除术治疗。超声诊断结果与病理诊断结果一致。结论采用内镜 下超声微探尖诊断消化道粘膜下隆起病变患者，其能够有效地诊断黏膜不隆起的 大小和性质以及层次，并对临床治疗方式的选择提供重要的参考价值。 【关键词】消化道粘膜下隆起病变N镜下超声微探头诊治 【屮图分类号】R57 【文献标识码】A 【文章编号】1672-5085 (2014) 06-0057-02 Explore endoscopic ultrasound micro probe swell under the treatment of digestive tract mucosa lesions 【Abstract】 objective to investigate and analyze the micro probe endoscopic ultrasonography in the diagnosis and treatment of gastrointestinal submucosal apophysis lesions, provided a reference for clinical doctors diagnose and treatment. Method for the 36 cases were treated by gastrointestinal submucosal apophysis lesions were treated by endoscopic ultrasound micro probe is checked, then according to the size and nature, and so on and so forth to patients with lesions bulge excision method. Results in the study, the digestive tract mucosa under uplift above lesions located in the submucosa and diameter lt; 2.0 cm for 17 cases of patients, and USES the endoscopic treatment of patients with no bleeding and perforation, and so on and so forth. Diameter gt; 2.0 or below the intrinsic muscle layer for 19 cases of patients, the patients treated by surgical resection. Ultrasonic diagnosis and pathological diagnosis. Conclusion endoscopic ultrasound micro probe in the diagnosis of gastrointestinal submucosal uplift lesions, it can effectively diagnose the submucous uplift the size and nature as well as the level, the choice of clinical treatment and provide important reference value. 【Key words】gastrointestinal submucosal apophysis lesions Micro endoscopic ultrasound probe Make a diagnosis and give treatment 临床上采用超声微探头进行检查，K具奋频率高，并且能够在内镜直视下进 行操作[1】。同吋还具有微创和诊断率高等优点。此次研究中，消化道粘膜下隆 起病变采用内镜下超声微探头检查，探讨和分析其的诊疗效果，如下报道。 1资料与方法 1.1 一般资料此次所