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超声内镜对消化道黏膜下肿物的诊断价值 被引量:17

The diagnostic value of endoscopic ultrasonography for gastrointestinal submucosal tumors
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摘要 目的评价超声内镜对消化道黏膜下肿物(SMT)的诊断价值。方法对378例胃肠镜检查过程中发现SMT的患者进一步行超声内镜检查,记录超声内镜下病变的形状、数量、起源层次,并对病变进行定性诊断。根据肿物切除术中实际所见统计超声内镜判断SMT形状、数量、起源层次的符合率,以切除标本病理学及免疫组织化学检查结果为金标准检验超声内镜定性诊断SMT的符合率。结果378例SMT中,平滑肌瘤(131例)最多见,多为低回声(87例)、回声均匀(119例)、起源于黏膜肌层(92例);其次为胃肠道间质瘤(111例),多为低回声(51例)或中低回声(51例)、回声均匀(78例)、起源于固有肌层(85例);再次为类癌(50例),内部回声均匀,多为低回声(36例)、起源于黏膜下层(27例);还发现脂肪瘤45例,起源于黏膜下层,多为高回声(40例)、回声均匀(41例);异位胰腺(19例)、神经鞘瘤(4例)、颗粒细胞瘤(4例)等相对少见。超声内镜对SMT的总体定性诊断符合率为78.6%(297/378),瘤体的形状判断符合率为91.8%(347/378),数量判断符合率为95.5%(361/378),层次起源判断符合率为96.8%(366/378)。结论各种SMT在超声内镜下特点不一,虽然超声内镜检查可以显示肿物的回声、大小、起源以及与消化道管壁层次的关系,对于SMT的诊断、鉴别诊断及治疗方案的选择有重要的指导意义,但是仍有一定局限性。 Objective To investigate the diagnostic value of endoscopic ultrasonography (EUS) for gastrointestinal submucosal tumors. Methods EUS was performed on 378 patients with submucosal tumor detected by endoscopy. The shape, number,origin, and property were recorded under endoscopic uhrasonogra- phy. The diagnostic consistent rate was calculated with pathology as the golden standard. Results Among 378 patients, there were 131 cases of gastrointestinal leiomyoma, mostly low echo (n = 87 ), homogeneous echo (n = 119), and originated from muscular layer of mueosa (n = 92 ). There were 111 cases of gastrointestinal stromal tumor, mainly low echo ( n = 51 ), medium low echo ( n = 51 ), homogeneous echo ( n = 78 ), originated from muscnlaris propria( n = 85 ). There were also 50 cases of carcinoid tumor, mainly low echo (n = 36 ), originated from submueosa ( n = 27). Forty-five cases of lipoma were detected, also originated from submuco- sa, mainly hyperecho ( n = 40), homogeneous echo ( n = 41 ). Heterotopic pancreas ( n = 19 ), schwannoma (n =4), and granular cell tumor (n =4) were relatively rare. Overall diagnostic consistent rate of EUS in submucosal tumor was 78.6% (297/378), diagnostic consistent rate of the shape of the tumor was 9l. 8% (347/378), diagnostic consistent rate of the number was 95.5% (361/378) , and the consistent rate of origin was 96. 8% (366/378). Conclusion All kinds of submucosal tumor have certain features under endoscopic uhrasonography. Endoscopic ultrasonography can display echo, size, origin of gastrointestinal submucosal tumors, as well as their relations with the wall layer in gastrointestinal tract. It plays an important role in the diagnosis, differential diagnosis and treatment options, but there are still some limitations.
作者 郭花 盛剑秋 金鹏 王海红 李娜 赵晓军 Guo Hua,Sheng Jianqiu, Jin Peng, Wang Haihong, Li Na, Zhao Xiaojun( Department of Gastroenterology, The Military General Hospital of Beijing, Beijing 100700, China)
出处 《中华消化内镜杂志》 2014年第9期508-512,共5页 Chinese Journal of Digestive Endoscopy
关键词 内镜超声检查术 消化道黏膜下肿物 Endoscopic uhrasonography Gastrointestinal submucosal tumor
作者简介 通信作者:盛剑秋,Email:jianqiu@263.net
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参考文献11

  • 1Landi B, Palazzo L. The role of endosonography in submucosal tumours [ J ]. Best Pract Res Clin Gastroenterol, 2009,23 ( 5 ) : 679-701. 被引量:1
  • 2Sen SW, Hong S J, Hart JP, et al. Accuracy of a scoring system for the differential diagnosisof common gastric subepithelial tumors based onendoscopic ultrasonography [ J]. J Dig Dis, 2013, 14(12) :647-653. 被引量:1
  • 3Rajendra R,Pollack SM, Jones RL. Management of gastrointesti- nal stromal tumors [ J ]. Future Onco1,2013,9 ( 2 ) : 193-206. 被引量:1
  • 4Vukobrat-Bijedic Z, Husic-Selimovic A, Bijedic N, et al. Gastro- intestinal stromal tumors and its frequency in our clinical samples [J]. Med Arh,2012,66(6):369-371. 被引量:1
  • 5Eisenberg BL. The SSG XVIII/AIO trial: results change the cur- rent adjuvant treatment recommendations for gastrointestinal stro- mal tumors[J]. Am J Clin Oncol,2013,36( 1 ) :89-90. 被引量:1
  • 6Fnkuchi M, Naitoh H, Shoji H,et al. Schwannoma of the stomach with elevated preoperative serum carbohydrate antigen 19-9: re- port of a case[ J]. Surg Today,2012,42(8 ) :788-792. 被引量:1
  • 7Kanneganti K, Patel H, Niazi M, et al. Cecal schwannoma : a rare cause of gastrointestinal bleeding in a young woman with review of literature [ J ]. Gastroenterol Res Pract,2011,15 (6) : 142781. 被引量:1
  • 8Wang G, Chen P, Zong L, et al. Cellular schwannoma arising from the gastric wall misdiagnosed as a gastric stromal tumor: A case report[J]. Oncol Lett,2014,7(2) :415-418. 被引量:1
  • 9Yoon HY, Kim CB, Lee YH, et M. Gastric schwannoma [ J ]. Yonsei Med J,2008,49(6) : 1052-1054. 被引量:1
  • 10Hong SW, Cho WY, Kim JO, et al. Gastric schwannoma diag- nosed by endoscopic ultrasonography-guided trucut biopsy [ J ]. Clin Endosc ,2013,46 ( 3 ) : 284-287. 被引量:1

同被引文献102

  • 1朱玲花.贲门癌的螺旋CT诊断及临床价值[J].实用放射学杂志,2006,22(6):706-708. 被引量:1
  • 2Longcroft-Wheaton G,Bhandari P.Endoscopic resection of submucosal tumors[J].Expert Rev Gastroenterol Hepatol,2015,29:1-11. 被引量:1
  • 3Rossini LG,Ribeiro PA,Rodrigues FC,et al.Transrectal ultrasound-tech-niques and outcomes in the management of intestinal endometriosis[J].Endosc Ultrasound,2012,1(1):23-35. 被引量:1
  • 4Winant AJ,Gollub MJ,Shia J,et al.Imaging and clinicopathologic features of esophageal gastrointestinal stromal tumors[J].AJR Am J Roentgenol,2014,203(2):306-314. 被引量:1
  • 5Alkhatib AA,Faigel DO.Endoscopic ultrasonography-guided diagnosis of subepithelial tumors[J].Gastrointest Endosc Clin N Am,2012,22(2):187-205. 被引量:1
  • 6Kongkam P,Devereaux BM,Ponnudurai R,et al.Endoscopic ultrasound forum summary from the Asian Pacific digestive week endoscopic ultrasound 2012[J].Endosc Ultrasound,2013,2(1):43-60. 被引量:1
  • 7Biaiek A,Wiechowska-Koztowska AfPertkiewicz J,et al.Endoscopic submucosal dissection for treatment of gastric subepithelial tumors(with video)[J].Gastrointest Endosc,2012,75(2):276-286. 被引量:1
  • 8Guo J,Liu Z,Sun S,et al.Endosonography-assisted diagnosis and therapy of gastrointestinal submucosal tumors[J].Endosc Ultrasound,2013,2(3):125-133. 被引量:1
  • 9Niimi K,Goto O,Fujishiro M,et al.Endoscopic mucosal resection with a ligation device or endoscopic submucosal dissection for rectal carcinoid tumors:an analysis of 24 consecutive cases[J].Dig Endosc,2012,24(6):443-447. 被引量:1
  • 10Kim HH,Park SJ9Lee SH,et al.Efficacy of endoscopic submucosal resection with a ligation device for removing small rectal carcinoid tumor compared with endoscopic mucosal resection:analysis of 100 cases[J].Dig Endosc,2012,24(3):159-163. 被引量:1

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