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对直径小于2cm的上消化道良性肿物超声微探头检查随诊分析
引用本文:王永华,黄启阳,刘迎娣,刘庆森,王志强,卢忠生,孙刚,王向东.对直径小于2cm的上消化道良性肿物超声微探头检查随诊分析[J].胃肠病学和肝病学杂志,2014(8):953-955.
作者姓名:王永华  黄启阳  刘迎娣  刘庆森  王志强  卢忠生  孙刚  王向东
作者单位:中国人民解放军总医院消化科,北京100853
摘    要:目的了解直径2 cm的上消化道良性肿物:囊肿、平滑肌瘤、异位胰腺、脂肪瘤的大小变化情况,确定内镜随诊时间或是否需要治疗。方法对超声微探头检查发现的116例上消化道良性肿物的部位、病变层次、超声特点及经过6~100个月(平均23.6个月)的随访情况进行分析。结果囊肿17例、平滑肌瘤77例、异位胰腺7例、脂肪瘤15例,经过6个月以上超声内镜随诊,只有1例出现增大,115例无变化。结论直径2 cm的上消化道良性肿物短期内不会明显增大,2年内不需要内镜随诊和治疗。

关 键 词:超声微探头  囊肿  平滑肌瘤  异位胰腺  脂肪瘤

Follow-up survey of micro-probe endoscopic ultrasonography in upper gastrointestinal benign tumor diameter less than 2 cm
WANG Yonghua,HUANG Qiyang,LIU Yingdi,LIU Qingsen,WANG Zhiqiang,LU Zhongsheng,SUN Gang,WANG Xiangdong.Follow-up survey of micro-probe endoscopic ultrasonography in upper gastrointestinal benign tumor diameter less than 2 cm[J].Chinese Journal of Gastroenterology and Hepatology,2014(8):953-955.
Authors:WANG Yonghua  HUANG Qiyang  LIU Yingdi  LIU Qingsen  WANG Zhiqiang  LU Zhongsheng  SUN Gang  WANG Xiangdong
Institution:(Department of Gastroenterology, the General Hospital of PLA, Beijing 100853, China)
Abstract:Objective To explore the tumor size changes of upper gastrointestinal benign tumor diameter less than 2 cm : cyst, leiomyma, heterotopic pancreas, lipoma, and to define the follow-up time of endoscope or whether a treatment is necessary. Methods One hundred and sixteen cases of upper gastrointestinal benign tumors' localization, lesion hi- erarchy, ultraphonic characteristics and the follow-up survey results within 6 - 100 months ( mean 23.6 months) by mi- cro-probe endoscopic ultrasonography were analyzed. Results There were 17 cases of cysts, 77 cases of leiomyma, 7 cases of heterotopic pancreas, 15 cases of lipoma. After more than 6 months of endoscopic ultrasound follow-up, only one patient showed benign tumor volume increase, 115 cases indicated no variance. Conclusion There is no significant increase in upper gastrointestinal benign tumor diameter less than 2 cm and no necessary for treatment, endoscope fol- low-up within two years.
Keywords:Micro-probe endoscopic ultrasonography  Cyst  Leiomyma  Heterotopic pancreas  Lipoma
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