摘要
目的:探讨胃镜及内镜超声在食管乳头状瘤(esophageal papillomas,EP)诊治中的价值.方法:我院消化内镜中心2003-07/2008-10经内镜电切或活检标本病理证实EP患者49例,均行胃镜检查,其中24例行内镜超声检查,分析其常规胃镜表现、内镜超声声像图特征及其与病理和临床的关系.结果:49例行胃镜检查的EP病例多位于食管中下段(占89.8%),呈羽毛状或乳头状隆起,表面呈絮状或细颗粒状,色灰白,多为单发,大小0.3-0.6cm;24例行超声内镜检查的EP患者中有17例EUS诊断为食管乳头状瘤(占70.8%),6例EUS诊断为炎性增生或息肉(25%);其典型EUS声像图特征为起源于黏膜层的均匀等回声,边界清晰,向腔内突出.结论:EUS能清晰显示EP起源层次和侵犯深度,可用于判断其是否适合内镜下治疗.
AIM： To explore the value of gastroscopy and endoscopic ultrasonography in diagnosis and treatment of esophageal papilloma. METHODS： Forty nine cases with esophageal papilloma confirmed by pathological examina- tion underwent gastroscopy and 24 of them un- derwent endoscopic ultrasonography. Then their manifestations of gastroscopy and endoscopic ultrasonography as well as the relationship be- tween the pathologic and clinical characteristics were analyzed. RESULTS： On gastroscopy, most lesions of EP cases were located at the middle or distal esoph- agus （89.8%）, assuming feather-like or corpora mammillaria-like bulge, with floccular or fine granular-like surface and grayish-white color,and most of the EP was single with diameter ranging from 0.3-0.6 cm. Of 24 cases undergoing endoscopic ultrasonography, 17 were diagnosed as EP （70.8%）, and 6 were diagnosed as inflam- matory proliferation or polypus （25%）. The clas- sic endosonographic characteristics were even iso-echoic with clear boundary originating from mucosa layer, protruding into the lumen. CONCLUSION： Esophageal papilloma is well displayed on endoscopic ultrasonography, which could be used to determine indications of endoscopy.
出处
《世界华人消化杂志》
CAS
北大核心
2009年第8期825-828,共4页
World Chinese Journal of Digestology
