摘要
目的探讨电子胃镜和超声内镜应用于上消化道黏膜下病变的诊断价值,为实际应用提供参考依据。方法178例上消化道黏膜下病变患者,均先进行普通电子胃镜检查,探查胃腔大体情况,吸出多余黏液泡沫,确定大概病变位置,再行超声内镜检查。以病理活检结果为金标准,记录所有患者术后病理活检情况,并比较两种检查方式的诊断符合率。结果178例患者中,平滑肌瘤79例,占比最高,为44.38%,其次为胃间质瘤59例,占比为33.15%;另外,发病部位最高的为胃部,125例,占比为70.22%,其次为食管50例,占比为28.09%。以病理活检为金标准,超声内镜对胃间质瘤、异位胰腺、平滑肌瘤诊断符合率分别为76.27%、100.00%、63.29%,均高于电子胃镜的44.07%、36.84%、40.51%,差异具有统计学意义(P<0.05);超声内镜对消化道黏膜下病变诊断符合率69.10%高于电子胃镜的39.33%,差异均具有统计学意义(P<0.05)。结论超声内镜应用于上消化道黏膜下病变诊断中,更有利于掌握病变部位起源、大小、性质,有利于提升临床诊断准确率,对治疗方案制定、改善患者治疗效果均具有积极意义,在符合检测指征的前提下,值得临床推广应用。
Objective To discuss the diagnostic value of electronic gastroscopy and ultrasound endoscopy in the diagnosis of upper gastrointestinal submucosal lesions,so as to provide reference for practical applications.Methods 178 patients with upper gastrointestinal submucosal lesions all underwent ordinary electronic gastroscopy to explore the general condition of the gastric cavity,suck out the excess mucus foam,determine the approximate location of the lesion,and then perform ultrasound endoscopy.Using pathological biopsy results as the gold standard,postoperative pathological biopsies were recorded in all patients,and the diagnostic coincidence rates of the two examination methods were compared.Results Among 178 patients,leiomyomas was found in 79 cases,accounting for the highest percentage of 44.38%,followed by 59 cases of gastric stromal tumors,accounting for 33.15%;in addition,the highest site of incidence was the stomach,with 125 cases,accounting for 70.22%,followed by the esophagus in 50 cases,accounting for 28.09%.Taking pathological biopsy as the gold standard,the diagnostic coincidence rates of gastric stromal tumor,ectopic pancreas,and leiomyoma by ultrasound endoscopy were 76.27%,100.00%,and 63.29%,respectively,which were higher than 44.07%,36.84%,and 40.51%of electronic gastroscopy,and the difference was statistically significant(P<0.05);the diagnostic coincidence rate of gastrointestinal submucosal lesions 69.10%by ultrasound endoscopy was higher than 39.33%by electronic gastroscopy.All the differences were statistically significant(P<0.05).Conclusion The application of ultrasound endoscopy in the diagnosis of upper gastrointestinal submucosal lesions is more conducive to grasping the location,size,and nature of lesions,improving the accuracy of clinical diagnosis,and has positive significance for the formulation of treatment plans and the improvement of therapeutic effects.Under the premise of meeting the indications for detection,it is worthy of clinical promotion and application.
作者
冶丽娜
杨琴
杨红伟
YE Li-na;YANG Qin;YANG Hong-wei(Red Star Hospital of the 13th Division of Xinjiang Production and Construction Corps,Hami 839000,China)
出处
《中国实用医药》
2021年第33期50-52,共3页
China Practical Medicine
关键词
电子胃镜
超声内镜
上消化道黏膜下病变
诊断符合率
Electronic gastroscopy
Ultrasound endoscopy
Upper gastrointestinal submucosal lesions
Diagnostic coincidence rate
