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目的 :应用超声内镜对胃平滑肌瘤、胃平滑肌肉瘤作一鉴别。方法 :4 8例胃平滑肌瘤或平滑肌肉瘤患者 ,应用超声内镜检查后 ,根据肿瘤大小、边缘的整齐与否、内部回声是否均匀、有无液化四方面 ,用计分的办法 ,定量化评价良恶性。结果 :本组平滑肌瘤的积分一般都很低 (<2 .0分 ) ;积分 >3.0分者 ,均为平滑肌肉瘤 ;积分范围在 2 .0～ 3.0分之间的肿瘤 ,超声内镜与病理结果相差较大。结论 :超声内镜检查结合计算肿瘤积分评价其良恶性的方法是可行的 ,但需要进一步完善
OBJECTIVE: To identify gastric leiomyosarcoma and gastric leiomyosarcoma with endoscopic ultrasonography. Methods: Forty-eight patients with gastric leiomyosarcoma or leiomyosarcoma were enrolled in this study. After ultrasound endoscopy, they were quantified according to the size of the tumor, the tidiness of the edge, whether the internal echo was uniform or not, and whether there was liquefaction. Evaluation of benign and malignant. Results: The leiomyoma of this group is generally low (<2.0 points); the score> 3.0 points are leiomyosarcoma; the score range of 2.0 to 3.0 points in the tumor, endoscopic ultrasound and Pathological differences between the larger. Conclusion: It is feasible to combine ultrasound endoscopy with tumor score to evaluate the benign and malignant tumors, but it needs further improvement