微型探头超声胃镜对食管隆起性病变的临床诊断价值

Clinical Diagnostic Value of Miniature Probe Ultrasonic Gastroscope for Esophageal Eminence Lesions

摘要:

〔摘 要〕 目的：探讨微型探头超声胃镜对食管隆起性病变的临床诊断价值。方法：回顾性选择 2020 年 3 月至 2021 年 4 月在郴州市第四人民医院内镜中心常规胃镜检查发现食管隆起性病变的 44 例患者作为研究对象，首先采用 微型探头超声胃镜对病变部位进行扫查，通过观察病灶超声图像特征并作出初步诊断，根据初步诊断采用不同的内镜 微创治疗方案并行病理学检查，比较病理学检查与微型探头超声胃镜检查结果的差异，判断微型探头超声胃镜对食 管隆起性病变诊断的准确性，并观察内镜治疗的安全性。结果：微型探头超声胃镜对食管隆起性病变诊断的灵敏度为 97.62 %，特异度为 50.00 %，准确度为 95.45 %，44 例接受内镜微创治疗的患者术中及术后均未发生消化道出血、穿孔、 感染等并发症，术后恢复均良好。结论：微型探头超声胃镜对食管隆起性病变检查结果与病理学检查结果基本一致， 且在微型探头超声胃镜的指导下采用不同的内镜微创治疗方案患者均未出现大出血、穿孔等并发症，安全性高。

Abstract:

〔Abstract〕 Objective To investigate the clinical diagnostic value of ultrasonic gastroscopy with miniature probe for esophageal eminence lesions. Methods 44 patients with esophageal eminence lesions found by routine gastroscopy in endoscopy center's office of the Fourth People's Hospital of Chenzhou from March 2020 to April 2021were retrospectively selected as the research objects. Firstly, the lesions were scanned by ultrasonic gastroscopy with miniature probe, and the initial diagnosis was made by observing the ultrasound image characteristics of the lesions. According to the initial diagnosis, different endoscopic minimally invasive treatment schemes and pathological examination were used to compare the differences between pathological examination and micro-probe ultrasonic gastroscopy, to judge the accuracy of micro-probe ultrasonic gastroscopy in the diagnosis of esophageal eminence lesions, and to observe the safety of endoscopic treatment. Results The sensitivity, specificity and accuracy of micro-probe ultrasonic gastroscopy in the diagnosis of esophageal elevation lesions were 97.62 %, 50.00 % and 95.45 %, respectively. No gastrointestinal bleeding, perforation, infection and other complications occurred in 44 patients who received endoscopic minimally invasive treatment during and after operation, and the postoperative recovery was good. Conclusion The results of micro-probe ultrasonic gastroscopy for esophageal protrusion lesions are basically consistent with the pathological results. Under the guidance of micro-probe ultrasonic gastroscopy, there are no complications such as massive bleeding and perforation in patients with different endoscopic minimally invasive treatment schemes, which is safe.