EVALUATION OF SUBMUCOSAL UPPER GASTROINTESTINAL-TRACT LESIONS BY ENDOSCOPIC ULTRASOUND

EVALUATION OF SUBMUCOSAL UPPER GASTROINTESTINAL-TRACT LESIONS BY ENDOSCOPIC ULTRASOUND
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DOI:
10.1016/s0016-5107(91)70778-5
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发表时间:
1991-07-01
影响因子:
7.7
通讯作者:
LEHMAN, GA
LEHMAN, GA
中科院分区:
医学1区
文献类型:
--
作者:
BOYCE, GA;SIVAK, MV;LEHMAN, GA

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通过内窥镜或钡剂检查来正确诊断粘膜下上消化道肿块病变是很困难的。 区分粘膜下肿瘤、血管结构和外在器官通常是不可能的。 我们对91例上消化道粘膜下肿块病变患者进行了超声内镜检查。 在 50 例可进行病理学或血管造影比较的病例中,超声内镜准确确定了 48 例的起源部位。 平滑肌瘤、脂肪瘤、静脉曲张和癌具有特征性超声检查结果。 超声内镜是评估上消化道粘膜下肿块病变的有用方法。
The proper diagnosis of submucosal upper gastrointestinal tract mass lesions by endoscopy or barium study is difficult. Differentiation between submucosal tumors, vascular structures, and extrinsic organs is often impossible. We performed endoscopic ultrasound examination of 91 patients with upper gastrointestinal submucosal mass lesions. Endoscopic ultrasound was accurate in determining the site of origin in 48 of 50 cases where pathology or angiography comparison was available. Leiomyoma, lipoma, varices, and carcinoma had characteristic ultrasonographic findings. Endoscopic ultrasound is a useful procedure in the evaluation of upper gastrointestinal submucosal mass lesions.