1 375枚上消化道隆起病变内镜超声检查结果分析

目的探讨内镜超声（EUS）对上消化道隆起病变的诊断价值，全面认识上消化道隆起病变。方法对1375枚上消化道隆起病变进行内镜超声检查，分析超声图像特征及检查结果。结果1375枚上消化道隆起病变都得到明确诊断，其中胃862枚，食管391枚，十二指肠122枚。依次为平滑肌瘤401枚、间质瘤128枚、壁外压迫342枚、囊肿79枚、血管瘤64枚、异位胰腺58枚、脂肪瘤52枚、Brunner腺增生35枚、黏膜表面下腺瘤62枚、炎性增生51枚、黏膜表面下癌27枚、淋巴瘤7枚、静脉曲张7枚、十二指肠副乳头6枚、神经纤维瘤5枚、类癌2枚、胃黏膜肥厚症1枚、EUS未见异常48枚。除去壁外压迫，食管以平滑肌瘤、血管瘤为主；胃部以平滑肌瘤和间质瘤、囊肿、异位胰腺居多，十二指肠内Brunner腺增生最多。结论内镜超声检查对上消化道隆起病变有很高的定位诊断价值和较好的定性诊断价值，且可指导内镜下治疗，准确定性。

The evalutoin of the endoscopic ultrasonography (EUS) to the 1375 cases with the apophysis lesions in upper digestive tract

Objective To probe the diagnosis value endoscopic ultrasonography (EUS) to the apophysis lesions in upper digestive tract and to recognize this kind of diseases comprehensively. Methods 1375 patients with the apophysis lesions in upper digestive tract were examined by endoscopic ultrasonography (EUS) and analyzed the ultrasonography pictures and examine results. Resealts 1375 patients with the apophysis lesions in upper digestive tract are all identified, among them: 862 lesions were located in the stomach,...