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微探头超声内镜诊断直肠类癌的临床价值
引用本文:张卫国,童强,王强,李胜保,金曙,郜元军. 微探头超声内镜诊断直肠类癌的临床价值[J]. 临床和实验医学杂志, 2012, 11(13): 1044-1045
作者姓名:张卫国  童强  王强  李胜保  金曙  郜元军
作者单位:湖北医药学院附属十堰市太和医院消化内科,湖北,十堰,442000
摘    要:目的探讨微探头超声内镜(MPS)诊断直肠类癌的价值。方法 21直肠隆起的患者行MPS检查,并行病理学检查。结果 3例为直肠类癌,MPS表现为低回声改变,起源于黏膜层或黏膜下层,18例为直肠息肉,MPS表现为强回声改变,起源于黏膜层。结论 MPS下直肠类癌与常见的直肠息肉表现明显不同,具有鉴别诊断价值。

关 键 词:超声内镜  直肠类癌  直肠息肉

The significance of miniature probe scanner in diagnosis of rectal carcinoid tumor
Affiliation:ZHANG Wei-guo,TONG Qiang,WANG Qiang,et al.Department of Gastroenterology,Taihe hospital,Hubei University of Medicine,Shiyan Hubei 442000,China
Abstract:Objectives To explore the significance of miniature probe scanner(MPS)in diagnosis of rectal carcinoid tumor.Methods Twenty-one patients with bulgy lesions in rectum detected by miniature probe scanner(MPS) were diagnosed with endoscopic biopsy and pathological examination.Results Among them,3 cases were diagnosed as rectal carcinoid tumor,and 18 cases were diagnosed as rectal polyposis.The ultrasonography of rectal carcinoid tumor manifested as lesions with hillock or hemispheric low level echoes,which originated from mucosa or submucosa.Rectal polyps were presented as mucosal mass with high level echoes.Conclusion The characteristics of MPS between rectal carcinoid tumor and rectal polyp have distinct difference,and this study can validate the value of MPS in differential diagnosis.
Keywords:Miniature probe scanner  Rectal carcinoid tumor  Rectal polyp
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