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目的:探讨超声胃镜在上消化道隆起性病变中的诊断价值。方法:选择2012年2月-2015年11月来我院就诊的208例上消化道隆起性病变患者为研究对象,均进行超声胃镜检查和常规胃镜检查,对检查结果进行统计学分析。结果:208例患者中,经病理组织学确诊异位胰腺患者70例,食管平滑肌瘤患者81例,胃间质瘤患者27例,脂肪瘤患者30例,超声胃镜检查获得诊断的患者有201例,符合率为96.63%。不良反应的发生率为1.44%。常规胃镜检查获得诊断的患者有153例,符合率为73.56%。不良反应的发生率为2.40%。两种检查方法符合率及不良反应发生率之间差异具有统计学意义(P<0.05)。结论:与常规胃镜检查相比,超声胃镜检查能够准确的区分消化道各层,在判断肿瘤的大小、起源、性质等方面具有十分重要的借鉴意义。
Objective: To investigate the diagnostic value of ultrasonic endoscopy in the uplift of upper digestive tract. Methods: A total of 208 patients with upper digestive tract lesions who visited our hospital from February 2012 to November 2015 were enrolled in this study. All patients underwent gastroscopy and routine gastroscopy. The results were statistically analyzed. Results: Of the 208 patients, 70 patients with ectopic pancreas diagnosed by histopathology, 81 patients with esophageal leiomyoma, 27 patients with gastric stromal tumor, 30 patients with lipoma, 201 patients diagnosed by gastroscopy For example, the coincidence rate was 96.63%. The incidence of adverse reactions was 1.44%. There were 153 cases diagnosed by conventional gastroscopy, the coincidence rate was 73.56%. The incidence of adverse reactions was 2.40%. There was a significant difference between the coincidence rate of the two methods and the incidence of adverse reactions (P <0.05). Conclusion: Compared with routine gastroscopy, endoscopic ultrasonography can accurately distinguish the layers of the digestive tract, in determining the size of the tumor, the origin, nature of a very important reference.