中国全科医学2011，Vol.14Issue(27)：3182-3184,3.
超声内镜对胃肠道间质瘤诊断价值的分析
Values of Endoscopic Ultrasonography in Diagnosis of Gastrointestinal Stromal Tumor
苏锦松 1刘保池 1张隆陶 2孙华文3
作者信息
- 1. 201508上海市,上海市(复旦大学附属)公共卫生临床中心
- 2. 河南省焦作市人民医院
- 3. 武汉大学人民医院胃肠外科
- 折叠
摘要
Abstract
Objective To explore the advantage of endoscopic ultrasonography ( EUS ) over routine endoscopy in diagnosis of gastrointestinal stromal tumors ( GISTs ). Methods According to surgical pathology and immunohistochemical results of 40 cases with GISTs, preoperative diagnosis between conventional endoscopy and endoscopic ultrasonography were contrasted.Results The protruded type lesions were main performance of GISTs under conventional endoscopy, ulcer hemorrhage or corrupted were obviously seen on its surface. The total accurate rate of preoperative diagnosis from conventional endoscopy towards GISTs were approximately 22.5％ ( 9/40 ); While the main performance of GISTs under endoscopic ultrasonography were low and uneven echogenic mass , besides, the original of tumor could be clearly observed. The total accurate rate of preoperative diagnosis from endoscopic ultrasonography towards GISTs were approximately 85.0％ ( 34/40 ) , that was significant higher than the total accurate rate of conventional endoscopy ( P ＜0.01 ). When the diameter of GISTs were not larger than 4 centimeter or the echo were even under the endoscopic ultrasonography , the benign character of GISTs could be forecasted ( P ＜0.05 ). Conclusion Comparing with EUS, preoperative diagnosis of GISTs are not easily tested by conventional endoscopy. Preoperative diagnosis of GISTs with EUS has a great superiority, because the tumor diameter size can be accurately measured and echo properties can be distinguished , which can predict the benign or malignant character of tumor at a certain extent.关键词
胃肠道间质瘤/超声内镜/诊断Key words
Gastrointestinal stromal tumors/ Endoscopic ultrasonography/ Diagnosis分类
医药卫生引用本文复制引用
苏锦松,刘保池,张隆陶,孙华文..超声内镜对胃肠道间质瘤诊断价值的分析[J].中国全科医学,2011,14(27):3182-3184,3.
