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目的探讨超声内镜对早期胃癌的诊断及指导治疗的应用价值。方法 2012年03月~2013年09月行普通胃镜检查发现胃黏膜可疑病变42例,可疑病变包括局部黏膜粗糙不平、糜烂、颜色异常、微隆起等,首次病理检查均提示为良性病变。在普通胃镜下观察可疑病灶黏膜,记录病变的大小、范围,然后在超声内镜引导下对可疑部位取活检,所有病变均以病理结果作为诊断标准。结果 42例患者确诊为腺癌3例(7.14%),高级别内瘤样变4例(9.53%),低级别内瘤样变11例(26.19%),慢性炎症及肠化生24例(57.14%)。结论超声内镜对提高早期胃癌的诊断率有较高的应用价值,并对指导治疗亦有重要价值。
Objective To investigate the value of endoscopic ultrasonography in the diagnosis and treatment of early gastric cancer. Methods From March 2012 to September 2013, 42 cases of gastric mucosal suspicious lesions were found by ordinary gastroscopy. The suspicious lesions included rough, uneven mucosa, erosion, abnormal color and micro uplift. The first pathological examination showed benign lesions. Suspicious mucosal lesions were observed under ordinary gastroscope, the size and range of lesions were recorded, and then the suspicious sites were biopsied under the guidance of endoscopic ultrasonography. All the lesions were diagnosed as pathological findings. Results 42 patients were diagnosed as adenocarcinoma in 3 cases (7.14%), high grade endothelium-like changes in 4 cases (9.53%), low-grade neoplasia in 11 cases (26.19%), chronic inflammation and intestinal metaplasia in 24 cases 57.14%). Conclusion Ultrasound endoscopy has a higher value in improving the diagnosis rate of early gastric cancer and is also of great value in guiding the treatment.