应涛,胡兵,冯亮,许惠敏,金彗民.微探头超声对食管隆起性病变的诊断价值[J].中国医学影像技术,2006,22(9):1330~1333
微探头超声对食管隆起性病变的诊断价值
Diagnostic value of miniprobe ultrasonography in patients with esophageal protruding lesions
投稿时间:2006-04-07  修订日期:2006-06-21
DOI:
中文关键词:  微探头超声  食管  隆起性病变  腔内超声检查
英文关键词:Miniprobe ultrasonography  Esophageal  Protruding lesions  Endosonography
基金项目:
作者单位E-mail
应涛 上海交通大学附属第六人民医院超声医学科,上海 200233  
胡兵 上海交通大学附属第六人民医院超声医学科,上海 200233 binghuzz@263.net 
冯亮 上海交通大学附属第六人民医院超声医学科,上海 200233  
许惠敏 上海交通大学附属第六人民医院内镜中心,上海 200233  
金彗民 上海交通大学附属第六人民医院内镜中心,上海 200233  
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中文摘要:
      目的 探讨微探头超声对食管隆起性病变的诊断价值。方法 在内镜引导下应用10 MHz微型超声探头对82例食管隆起性病变行微探头超声检查。结果 82例食管隆起性病变中微探头超声检出息肉6例,食管炎4例,平滑肌瘤19例,平滑肌肉瘤2例,静脉瘤15例,脂肪瘤3例,囊肿6例,食管癌10例,外压性病变17例 (其中15例主动脉压迹,1例肺肿瘤压迹,1例脊椎压迹),27例经病理证实。结论 微探头超声能够显示食管层次结构,对食管隆起性病变能够进行组织层次定位,较好地提示病变的性质,对食管隆起性病变的诊断与鉴别诊断有较高的价值。而且能够通过狭窄的食管,扩大了临床应用范围。
英文摘要:
      Objective To investigate the diagnostic value of miniprobe ultrasonography (MPS) in patients with esophageal protruding lesions. Methods Eighty-two patients with protruding lesions of esophagus were examined by MPS. Results The diseases and conditions in 82 patients included: 6 esophageal polyps, 4 inflammatory protrudings, 19 esophageal leiomyomas, 2 esophageal leiomyosarcomas, 15 esophageal venous aneurysms, 3 esophageal lipomas, 6 esophageal cysts, 10 esophageal carcinomas and 17 extra esophageal compressions (15 aorta compressions, 1 lung tumor compression, 1 spine compression). Twenty-seven patients were verified by surgeries and pathologies. Twenty-five patients were followed-up by MPS. Conclusion MPS can image the esophageal layer, locate the histological layer of esophageal eminent lesions and observe their ultrasonographic characteristics. It has certain value in the diagnosis and differential diagnosis of protruding eminent lesions of esophagus. Furthermore, being miniature probe, MPS can pass the strictured esophagus, which is widely applicable.
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