摘要
目的探讨超声内镜对消化道神经内分泌肿瘤(gastrointestinal neuroendocrine neoplasms,GI-NENs)的诊断价值。方法收集西安交通大学第一附属医院2015年1月至2019年2月期间超声内镜诊断为GI-NENs患者的病例资料,同时收集患者术后病理、内镜特点及治疗方式等,分析超声内镜对GI-NENs的诊断准确率、内镜下特点及对治疗方式的指导价值。结果共收集33例超声内镜诊断为GI-NENs且于我院进行治疗并获取病理的患者,以病理诊断为金标准,超声内镜诊断准确率为90.9%,GI-NENs好发于直肠和胃,镜下表现为球形或半球形隆起,色黄或色白、表面光滑、质地较硬,多起源于黏膜下层,为低回声病变。结论超声内镜对GI-NENs具有较大的诊断价值,并为后期治疗方式的选择提供依据。
Objective To evaluate the diagnostic value of endoscopic ultrasonography in gastrointestinal neuroendocrine neoplasms(GI-NENs).Methods We studied the patients diagnosed with GI-NENs from January 2015 to February 2019 at The First Affiliated Hospital of Xi'an Jiaotong University,and recorded their pathology,endoscopic features and treatment.We analyzed the accuracy of diagnosis GI-NENs by endoscopic ultrasonography,endosonographic characteristics and the choice of surgical methods for different lesions.Results A total of 33 patients had pathological findings and were treated at our hospital.With pathological diagnosis as the gold standard,the accuracy of endoscopic ultrasonography diagnosis was 90.9%.GI-NENs usually occurred in the rectum and the stomach.Endoscopically,they were spherical or hemispherical,yellow or white and hypoechoic bulging lesions with smooth surface and hard texture,which usually originated from the submucosa.Conclusion Endoscopic ultrasonography has a great diagnostic value in GI-NENs and it helps make decision on treatment.
作者
严欢
和水祥
王淑英
贾皑
张娟
邓元
李红霞
YAN Huan;HE Shuixiang;WANG Shuying;JIA Ai;ZHANG Juan;DENG Yuan;LI Hongxia(Department of Gastroenterology,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Department of Pathology,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)
出处
《西安交通大学学报（医学版）》
CAS
CSCD
北大核心
2020年第5期738-741,共4页
Journal of Xi’an Jiaotong University（Medical Sciences）
关键词
超声内镜
消化道神经内分泌肿瘤
诊断
endoscopic ultrasonography
gastrointestinal neuroendocrine neoplasms
diagnosis
