北华大学学报（自然科学版）2018，Vol.19Issue(1)：73-76,4.DOI:10.11713/j.issn.1009-4822.2018.01.015
超声内镜诊断上消化道黏膜下病变临床价值分析
Analysis on the Clinical Value of Endoscopic Ultrasonography in the Diagnosis of Upper Gastrointestinal Mucosa Lesions
摘要
Abstract
Objective To investigate the clinical value of Endoscopic ultrasonography( EUS) in the diagnosis of upper gastrointestinal mucosa lesions. Method The clinical data of 258 cases with upper gastrointestinal mucosa lesions,who had underwent surgery or minimally invasive surgery ( ESD ) , were analyzed retrospectively. The clinical value of endoscopic ultrasonography in the diagnosis of upper gastrointestinal mucosa lesions was analyzed, by calculating and comparing the sensitivity and specificity of endoscopic ultrasonography in the diagnosis of the disease with different pathological types and pathological origin using postoperative pathological examination result as the gold standard. Results The sensitivity sequence of EUS was as follows:lipoma >leiomyoma >heterotopic pancreas >mesenchymoma. The average sensitivity was 90. 97％, and there were no statistically significant difference between the groups ( P>0 . 05 ) . The specificity sequence of EUS was as follows:heterotopic lipoma >pancreas>mesenchymoma >leiomyoma. The average specificity was 96. 17％,and there were no statistically significant difference between the groups (P>0. 05). Compared with the other two groups,the diagnostic sensitivity of EUS for muscularis propria was the highest(91. 18％),the sensitivity for submucous layer was the lowest ( 79 . 41％) , and the difference between the groups was statistically significant ( P<0 . 05 ) . The average sensitivity was 85 . 55％, and the average specificity was 93 . 27％ with no statistically significant difference among the three group. Conclusion EUS has a high value in the diagnosis of upper gastrointestinal mucosa lesions, which can provide powerful evidence for the clinical diagnosis and treatment of upper gastrointestinal submucosal lesions. It is value of clinic application.关键词
超声内镜/消化道疾病/黏膜下病变/诊断价值Key words
endoscopic ultrasonography/digestive disease/submucosal lesion/diagnostic value分类
医药卫生引用本文复制引用
许新芳,毛伯能,吴凌东,刘蕾,金涛,刘芊,蒋圣君..超声内镜诊断上消化道黏膜下病变临床价值分析[J].北华大学学报（自然科学版）,2018,19(1):73-76,4.基金项目
江苏省自然科学基金项目(BHK2014256). （BHK2014256）
