摘要
目的探讨超声内镜对贲门粘膜下病变诊断的价值。方法方便选取2014年5月—2015年7月已进行胃镜检查,被诊断为贲门粘膜下出现隆起病灶并在该院进行超声内镜检查的171例患者作为该次研究对象,对比分析其病理诊断与超声内镜检查的诊断结果,以临床病理诊断作为金标准,分析EUS诊断贲门粘膜下病变的的准确率。分析超声内镜对贲门粘膜下病灶的诊断准确率。结果超声内镜对贲门粘膜下病变的诊断准确率为69.44%(125/180)。超声与病理诊断相符的病灶平均长径为(2.4±1.7)cm,不相符的病灶平均长径为(1.4±1.5)cm,差异有统计学意义(P<0.05);超声与病理诊断相符的病灶平均短径为(1.7±1.3)cm,不相符的病灶平均短径为(1.2±1.1)cm,差异有统计学意义(P<0.05)。结论超声内镜能观察贲门粘膜下病变的回声特性、大小、起源、边界,能鉴别壁内、壁外的病变,如今己逐渐成为诊断贲门粘膜下病变的首选方法,但超声内镜对病变的诊断准确率并不是特别高,还有待提升。
Objective This paper tries to discuss the value of endoscopic ultrasonography in the diagnosis of cardia submucosal lesions. Methods From May 2014 to July 2015, 171 patients underwent gastroscopy under the cardia mucosa and endoscopic ultrasonographies in this hospital were conveniently selected as the subjects. The pathological diagnosis and ultrasound endoscopic diagnosis were analyzed and compared, regarding the results of clinical pathology diagnosis as a gold standard; the accuracy rate of EUS diagnosis of cardia mucosal lesions was analyzed. And the diagnostic accuracy of endoscopic ultrasonography of cardia submucosal lesions was analyzed. Results The diagnostic accuracy of endoscopic ultrasonography for cardia mucosal lesions was 69.44%(125/180). The mean lesion length of ultrasound diagnosis and pathology was(2.4 ±1.7) cm, the mean lesion length diameter of not matching was(1.4±1.5) cm, with statistical significance; The mean lesion diameter of ultrasound diagnosis and pathology was(1.7±1.3) cm, the average short diameter of lesions of not matching was(1.2±1.1) cm, with statistical significance. Conclusion Ultrasound endoscopy can observe the echo characteristics, size, origin and boundary of cardia submucosal lesions. It can identify the lesions in the wall and outside the wall. Now it has gradually become the first choice for the diagnosis of submucosal lesions, but the diagnostic accuracy of endoscopic ultrasonography is not such high, yet to be improved.
出处
《中外医疗》
2017年第32期181-182,185,共3页
China & Foreign Medical Treatment
关键词
超声内镜
贲门粘膜
贲门粘膜下隆起病灶
Ultrasound endoscopy
Cardiac mucosa
Submucosal lesions of the cardia