超声内镜在食管胃隆起性病变的诊疗价值.PDF免费

疗 技术 学信息2018 年8 月第31 卷第16 期 Medical Information Aug. 2018 Vol. 31 No.16 声内镜在食管胃隆起性病变的诊疗价值 1 2 高宏 郭林伟 渊1.陕西省榆林市第二医院内镜中心 陕西 榆林 719000 曰 2.陕西省榆林学院 陕西 榆林 719000冤 摘 要 目的 探讨超声内镜在食管胃隆起性病变中的诊疗价值遥 方法 选取我院2016 年3 月~2018 年3 月内镜检查提示食管 胃隆起性病变68 例 进行超声内镜检查 判断病变大小尧形态尧起源和病变性质等 并进行分析遥 结果 68 例食管胃隆起性病变 中 食管22 例渊32.35%冤 胃46 例渊67.65%冤遥 来源于食管胃管壁本身的病变62 例渊91.18%冤 其中良性病变57 例 恶性肿瘤5 例曰 壁外压迫5 例 其中食管外压2 例 胃外压3 例 未发现病变1 例遥 结论 超声内镜在食管胃隆起性病变诊断中 能够作出准确 的定位 并能提示病变的性质 对进一步治疗具有重要的指导意义遥 关键词 超声内镜曰隆起性病变曰病变诊断 中图分类号 R57 文献标识码 B DOI 10.3969/j .issn.1006-1959.2018.16.049 文章编号 1006-1959渊2018冤16-0154-03 The Value of Endoscopic Ultrasonography in the Diagnosis and Treatment of Esophageal and Gastric Lesions GAO Hong1,GUO Lin-wei2 (1.Endoscopy Center,Yulin Second Hospital,Yulin 719000,Shaanxi,China; 2.Yulin University,Yulin 719000,Shaanxi,China) Abstract Obj ective To investigate the value of endoscopic ultrasonography in the diagnosis and treatment of esophageal and gastric lesions.Methods From March 2016 to March 2018,endoscopic examination showed 68 cases of esophagogastric bulging lesions. Ultrasound endoscopy was performed to determine the size,shape,origin and pathological nature of the lesions. Results Of the 68 cases of esophagogastric uplift,22 cases (32.35%)had esophagus and 46 cases (67.65%)had stomach.62 cases (91.18%)were derived from esophageal wall itself,including 57 cases of benign lesions,5 cases of malignant tumors;5 cases of external pressure,including 2 cases of external esophageal pressure,3 cases of extragastric pressure,no case of lesion was found.Conclusion Endoscopic