| 摘要: |
| 目的：探索超声内镜在上消化道间叶源性肿瘤中的应用价值。方法：选取2019年1月至2020年5月本院收治的经常内镜检查诊断为消化道间叶源性肿瘤(gastrointestinal mesenchymal tumaors,GIMTs)患者80例为研究对象。所有患者均接受超声内镜检查,根据内镜表现选择治疗方法,术后标本进行病理学检查。观察分析超声内镜对GIMTs的诊断效能及手术指导价值。结果： 经超声内镜检测出脂肪瘤15例,与病理相符10例,检测敏感性83.33%(10/12)、特异性92.65%(63/68)；检测平滑肌瘤44例,与病理相符37例,检测敏感性88.10%(37/42)、特异性81.58%(31/38)；检测间质瘤22例,与病理相符19例,检测敏感性73.08%(19/26)、特异性94.44%(51/54),脂肪瘤多分布于胃(66.67%),起源于黏膜肌层(50.00%)或粘膜下层(50.00%)；平滑肌瘤多分布于胃(83.33%),起源于黏膜肌层(83.33%)；间质瘤多分布于胃(76.92%),起源于固有肌层(38.46%)。经超声诊断60例GIMTs行胃镜下指导治疗,手术均一次成功,术后未出现穿孔,出血现象,术后两月复查所有患者创面愈合情况良好,肿瘤未复发。结论：超声内镜对上消化道间叶源性肿瘤诊断效果显著,且对患者胃镜切除选择具有重要指导价值。 |
| 关键词: 上消化道间叶源性肿瘤 超声内镜 诊断效能 胃镜切除术 指导价值 |
| DOI： |
| 投稿时间：2020-12-28修订日期：2020-12-28 |
| 基金项目: |
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| Application value of EUS in upper gastrointestinal mesenchymal tumors |
| Liu Kai,Jiang Yan,Liu Dequan,Li Yan |
| () |
| Abstract: |
| Objective: To explore the value of endoscopic ultrasonography in upper gastrointestinal mesenchymal tumors.Methods:From January 2019 to May 2020,80 patients with gastrointestinal mesenchymal tumor (gastrointestinal mesenchymal tumaors,GIMTs) were diagnosed by regular endoscopic examination. All patients were examined by endoscopic ultrasound, and the treatment was selected according to the endoscopic manifestations. Observe and analyze the diagnostic efficacy and surgical guidance value of endoscopic ultrasonography in GIMTs.Results:15 cases of lipoma detected by EUS, In 10 cases, Sensitivity 83.33%(10/12), specificity 92.65%(63/68); Detection of leiomyoma in 44 cases, In 37 cases, Sensitivity 88.10%(37/42), specificity 81.58%(31/38); In 22 cases, In 19 cases, Sensitivity 73.08%(19/26), specificity 94.44%(51/54), Lipomas are mostly found in the stomach (66.67%), originating from the mucosal muscular layer (50.00%) or submucosa (50.00%); leiomyoma is mostly distributed in the stomach (83.33%), originating from the mucosal myometrium (83.33%); Most stromal tumors are found in the stomach (76.92%), originating from the lamina propria (38.46%). 60 cases diagnosed by ultrasound GIMTs guided by gastroscopy, The operation was successful, No perforation, Bleeding, Two months after surgery, all patients had good wound healing, The tumor did not recur.Conclusion:Endoscopic ultrasonography is effective in the diagnosis of upper gastrointestinal mesenchymal tumors and has important guiding value for gastrectomy. |
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