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目的:探讨超声内镜对上消化道黏膜下病变的诊断及治疗价值。方法:对180例上消化道黏膜病变患者进行超声内镜诊断,并根据内镜结果选择内镜下黏膜切除(EMR)或内镜下黏膜剥离术(ESD)进行治疗,术后定期内镜随访。并对所获得的最终病理检查进行诊断率的分析,分析超声内镜的诊断及治疗结果。结果:病理总诊断准确率为70.35%;超声内镜诊断准确率67.68%。超声内镜图像测量的长径大于2cm的病灶75例,诊断准确率(84.5%)高于小于2cm的病灶123例(61%)(P<0.05),且起源层次也存在显著差异(P<0.05)。结论:超声内镜对上消化道黏膜病变的诊断具有较高的准确率,并且在超声内镜指导下手术治疗具有良好的安全性和有效性。
Objective: To investigate the diagnosis and treatment of upper gastrointestinal submucosal lesions by endoscopic ultrasonography. Methods: One hundred and eighty cases of upper gastrointestinal mucosal lesions were diagnosed by endoscopic ultrasonography and endoscopic mucosal resection (EMR) or endoscopic mucosal dissection (ESD) were selected according to endoscopic findings. The patients were followed up by regular endoscopy . The final diagnosis of the pathological diagnosis of the rate of analysis, analysis of the diagnosis and treatment of endoscopic ultrasound results. Results: The total pathological diagnosis accuracy was 70.35%; the diagnostic accuracy of ultrasound endoscopy was 67.68%. There were 75 cases of lesions longer than 2 cm measured by endoscopic ultrasonography. The diagnostic accuracy (84.5%) was higher than that of 123 lesions (61%) less than 2 cm (P <0.05) (P < 0.05). Conclusion: Endoscopic ultrasonography has high accuracy in the diagnosis of upper gastrointestinal mucosal lesions, and has good safety and efficacy under the guidance of endoscopic ultrasonography.