微探头超声内镜鉴别诊断表面光滑型食管隆起性病变的价值

目的探讨微探头超声内镜（MPS）鉴别诊断表面光滑型食管隆起性病变的价值。方法189例患者胃镜检查发现表面光滑型食管隆起性病变,行MPS检查并与病理检查比较。结果MPS诊断食管平滑肌瘤或间质瘤56例,其中起源于黏膜肌层35例,起源于固有肌层21例;食管静脉瘤52例;食管外压性隆起38例;食管囊肿34例;食管息肉9例。结论MPS能准确判断表面光滑型食管隆起性病变的起源和层次,并能较好地提示病变性质,对明确该类病变的诊断及指导治疗具有较高的价值。

The value of miniature probe scanner endoscopic ultrasound in differential diagnosis of esophageal bulgy lesion with smooth surface

Objective To investigate the value of miniature probe scanner（MPS） endoscopic ultrasound in differential diagnosis of esophageal bulgy lesion with smooth surface. Methods One hundred and eighty-nine patients with esophageal bulgy lesion with smooth surface were examined by MPS and compared with pathologic examination. Results The diseases and conditions in patients diagnosed by MPS included： 56 esophageal leiomyoma or stromal tumor（35 cases derived from muscularis mucosa and 21 cases derived from muscularis propria）,52 esophageal venous aneurysm,38 extraesophageal compression,34 esophageal cyst and 9 esophageal polyps. Conclusion Different layers of esophagus with bulgy lesion with smooth surface can be distinguished clearly by MPS,leading to definite diagnosis.MPS is important in diagnosis and selecting treatment procedures of esophageal bulgy lesion with smooth surface.