超声内镜对十二指肠囊肿和脂肪瘤的鉴别诊断价值

山东大学学报(医学版) ›› 2012, Vol. 50 ›› Issue (3): 100-.

超声内镜对十二指肠囊肿和脂肪瘤的鉴别诊断价值

陆晓恒，郝洪升，孙莉娟，李文捷，宋璇，卢雪峰

山东大学齐鲁医院消化内科，济南 250012

收稿日期:2011-05-26 出版日期:2012-03-10 发布日期:2012-03-10
通讯作者: 郝洪升(1963- )，男，主任医师，主要从事消化内镜的操作与内镜下治疗及胃动力紊乱疾病研究。 E-mail:haohongsheng63@126.com
作者简介:陆晓恒(1986- )，女，硕士研究生，主要从事消化内镜的操作与内镜下治疗研究。

The usefulness of endoscopic ultrasonography in differentially diagnosing
and treating cysts and lipomas in the duodenal tract

LU Xiao-heng, HAO Hong-sheng, SUN Li-juan, LI Wen-jie, SONG Xuan, LU Xue-feng

Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan 250012, China)

Received:2011-05-26 Online:2012-03-10 Published:2012-03-10

摘要/Abstract

摘要：

目的探讨超声内镜(EUS)对鉴别十二指肠囊肿和脂肪瘤的诊断价值。方法回顾性分析我院2006年4月至2010年10月间经病理证实的20例十二指肠囊肿和14例脂肪瘤患者的内镜及EUS影像特征，记录病变的部位、大小、起源层次、表面形态、回声特征及治疗情况，比较两者影像特征。结果十二指肠囊肿和脂肪瘤的病变大小具有明显区别［(8.2 ± 3.4)mm vs (12.6 ± 5.0)mm，P<0.05)，EUS下的回声也有统计学差异(囊肿呈无或极低回声vs 脂肪瘤呈高回声，P<0.05)，而病变发生部位、起源层次、病变表面形态上的差异无统计学意义(P>0.05)。结论 EUS对十二指肠囊肿和脂肪瘤具有重要的鉴别诊断价值，因而为制定安全和经济的治疗方案提供了重要指导。

关键词: 鉴别；超声内镜；十二指肠；囊肿；脂肪瘤

Abstract:

Objective To investigate the usefulness of endoscopic ultrasonography (EUS) in differentially diagnosing cysts and lipomas in the duodenal tract. Methods EUS images of pathologically confirmed, 14 cases of cyst and 20 cases of lipoma were collected between April 2006 and October 2010. These lesions were compared in location, size, origin, margin and internal echo pattern. Results The cysts and lipomas were significantly different in size［(8.2±3.4)mm vs (12.6±5.0)mm, P<0.05］. They were also different in the internal echo pattern(cysts echoless or lowlevel echo vs lipomas high-level echo (P<0.05). By contrast, there were no statistical differences (P>0.05) in the lesion location, origin and margin. Conclusion EUS is a valuable tool to differentiate cysts and lipomas in the duodenal tract, thus providing guidance for making safe and costeffective treatment plans.

Key words: Differentiation； Endoscopic ultrasonography； Duodenum； Cyst； Lipoma

中图分类号:

R574.51

陆晓恒，郝洪升，孙莉娟，李文捷，宋璇，卢雪峰. 超声内镜对十二指肠囊肿和脂肪瘤的鉴别诊断价值[J]. 山东大学学报(医学版), 2012, 50(3): 100-.

LU Xiao-heng, HAO Hong-sheng, SUN Li-juan, LI Wen-jie, SONG Xuan, LU Xue-feng. The usefulness of endoscopic ultrasonography in differentially diagnosing
and treating cysts and lipomas in the duodenal tract[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(3): 100-.

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