上消化道病变超声内镜检查67例分析

报告和评价超声内镜对上消化道病变的诊断价值。方法，应用ＥＵＳ检查上消化道病灶６７例，在ＥＵＳ检查前均经胃镜检查并发病食管、胃内或十二指肠内有降起性病灶或其他病灶，部分患者并进行了Ｘ线钡剂检查，但诊断未能确定。结果ＥＵＳ检查的６７例患者中发现食管平滑肌瘤５例，食管静脉瘤１例，胃平滑肌瘤６例，胃平滑肌肉瘤例，胃脂肪瘤２例，胃淋巴瘤１例，胃息肉３例，胃溃疡１例，胃癌１例，胃外压迫１８例，胰尾占位１例，慢

Clinical Analysis of 67 Cases of Endoscopic Ultrasonography with the Lesions in Upper Gastrointestinal Tract

Objective To report and evaluate the diagnostic value of endoscopic ultrasonography (EUS) in the lesions of upper gastrointestinal tract. Methods 67 patients with upper gastrointestinal lesions were examined by endoscopic ultrasonography and they all had bulge or other focus in esophagus, stomach and duodenum by gastroscopy. Some of the patients also received X ray barium meal examination, but had no definite diagnosis. Results The diseases of 67 patients distributed as follows: 5 esophageal leiomyoma; 1 esophageal venous aneurysm; 6 gastric leiomyoma; 2 gastric leiomyosarcoma; 2 gastric lipoma; 1 gastric lymphoma; 3 gastricpolyp; 1 gastric ulcer; 1 gastric cancer; 1 mass in tail of pancreas; 18 oppression from outside of stomach; 24 patients with no obvious abnormality. Some diseases were verified by surgical operations and pathological examinations. 64 cases were definitely diagnosed by EUS with a rate of 95.1%. In contrast only 37(55.2%) of them were diagnosed by simple endoscopy. It confirms that EUS is superior to endoscopy in locating the lesions in upper gastrointestinal tract. Conclusion EUS has certain value in the diagnosis and differential diagnosis of the lesions in upper gastrointestinal tract. It can be used in indefinite diagnosis of patients in clinical work.