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Endoscopic ultrasonography in the diagnosis and treatment of gastric submucosal protuberances
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- Author:
- No author available
- Journal Title:
- CHINA MEDICINE
- Issue:
- 10
- DOI:
- 10.3760/cma.j.issn.1673-4777.2006.10.010
- Key Word:
- 黏膜下肿瘤;内镜超声
Abstract： 目的 探讨内镜超声对胃黏膜下隆起性病变的诊断与治疗价值.方法 应用内镜超声对40例胃黏膜下隆起性病变患者进行检查及引导治疗.结果 经内镜超声检查诊断为平滑肌瘤18例(45.0%),胃间质瘤2例(5.0%),脂肪瘤2例(5.0%),胃底静脉瘤1例(2.5%),异位胰腺2例(5.0%),胃壁外压迫13例(32.5%),未见异常2例(5.0%).胃壁外压迫性病变主要为脾脏(8/13,61.5%),其次是肝左叶、胆囊、胰腺囊肿、胰腺囊腺癌等.3例平滑肌瘤、2例脂肪瘤及2例异位胰腺经内镜下切除;3例平滑肌瘤、2例良性胃间质瘤、1例胰腺囊肿及1例胰腺囊腺癌经手术治疗.病理与内镜超声诊断符合率为100%.结论 内镜超声诊断胃黏膜下隆起性病变较为准确,能对病变的性质及起源做出诊断,并对治疗方法的选择提供参考.
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