微探头内镜超声检查在胃窦小隆起病变诊断中的应用价值

摘要

Objective]To evaluate the diagnosis and application values of endoscopic ultrasonography (EUS)with micro‐probe in gastric eminence lesions.[Methods]Clinical data of forty‐two patients with gas‐tric eminence lesions underwent with micro‐probe EUS were analyzed retrospectively.All lesions were trea‐ted with endoscopic mucosal resection or surgical resection to get the pathological diagnosis.The diagnostic accuracy of EUS with micro‐probe and endoscopic biopsy was analyzed respectively.[Results]The overall diagnosis accuracy of EUS with micro‐probe on gastric eminence lesions was 83.3% (35/42) ,which was 45.2% (19/42)with endoscopic biopsy.[Conclusions]Pathological evaluation of endoscopic biopsy sample is not a golden standard for the diagnosis of gastric eminence lesions ,while EUS with micro‐probe has better diagnostic and application value.%[目的]评价微探头内镜超声在胃窦小隆起病变诊断中的应用价值。[方法]回顾性总结分析行微探头内镜超声检查的42例胃窦小隆起病变患者的临床资料，以内镜下黏膜切除术或黏膜下剥离术或手术切除标本病理诊断为最终结果，分析比较微探头内镜超声及内镜下活检对胃窦小隆起病变的诊断符合率。[结果]微探头内镜超声检查在胃窦小隆起病变的诊断符合率为83.3％（35／42），内镜下经活检钳行病理检查对胃窦小隆起病变的诊断符合率为45.2％（19／42），超声内镜的诊断符合率高于胃镜活检，差异有统计学意义（ P＜0.01）。[结论]内镜下活检不能作为诊断胃窦小隆起病变的诊断依据；微探头内镜超声在胃窦小隆起病变有较高的临床诊断价值，对黏膜下病变的治疗方案的选择具有指导意义。