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目的探讨食管黏膜下隆起病变经超声小探头诊断的临床意义。方法对2013年电子胃镜诊断为食管黏膜下隆起病变68例患者行超声小探头检查,根据病变起源层次及回声不同进行诊断,并指导选择内镜下或外科治疗方案。结果 68例患者中起源于黏膜肌层的平滑肌瘤41例,起源于固有肌层的平滑肌瘤9例,起源于黏膜下层囊肿5例,静脉瘤6例,曲张静脉2例,脂肪瘤1例,腔外器官压迫4例。部分病变随访观察,有临床症状的病变分别行内镜下治疗或外科手术治疗,未见明显并发症。结论超声小探头检查是食管黏膜下隆起病变诊断的有效方法,并能指导选择内镜下治疗或外科手术治疗方案。
Objective To investigate the clinical significance of diagnosis of esophageal submucosal lesions by sonobox probe. Methods 68 cases of esophageal submucosal uplift diagnosed by electronic gastroscope in 2013 were examined with small sonography. According to the different origins and echoes of the lesion, they were diagnosed by endoscopic or surgical treatment. Results Among the 68 patients, 41 cases of leiomyomas originated from mucosal muscular layer, 9 cases of leiomyomas originated from muscularis propria, 5 cases originated from submucosal cysts, 6 cases of venous aneurysms, 2 cases of varicose veins, 1 cases of lipoma 1 Cases, 4 cases of extraocular organ compression. Follow-up observation of some lesions, lesions with clinical symptoms were treated with endoscopic or surgical treatment, no significant complications. Conclusion Ultrasound sonographic examination is an effective method for the diagnosis of esophageal mucosal uplift and can guide the choice of endoscopic treatment or surgical treatment.