微探头超声内镜对胃黏膜隆起性病变的诊断和治疗价值

目的探讨微探头超声内镜检查（MPS）在胃黏膜隆起性病变诊断和治疗中的应用价值。方法对常规胃镜检查诊断为胃黏膜隆起性病变82例行MPS检查，并根据检查结果部分行内镜治疗或手术治疗。结果82例胃黏膜隆起性病变中间质细胞瘤38例，其中12例来源于黏膜肌层，26例来源于固有肌层，恶性间质细胞瘤4例，脂肪瘤6例，血管瘤3例，囊肿3例，胃息肉11例，异位胰腺8例，腔外压迫9例。其中29例行内镜下黏膜切除术，18例行外科手术治疗。结论MPS对胃黏膜隆起性病变的诊断与鉴别诊断具有更高的价值，并且在其指导下进行内镜治疗是黏膜下肿瘤治疗的有效手段。

Value of diagnosis and treatment of Min-probe sonography for submucosal protrusion lesion in gastric

Objective To evaluate the cilincial value of Min-probe sonngraphy(MPS)for submucosal protrusion lesion in gastric.Methods 82 cases with submucosal protrusion lesion in gastric were detected by Min-probe sonography(MPS)and treated according to the diagnosis.Results 82 cases were fibroid,38 stromal tumor,among which 12 cases from muscularis mucosa,26 case from the proper muscle layer,4 malignant stromal tumor,6 lipoma,3 angioma,3 gastric cysts,11 gastric polypi,8 heterotopic pancreas,9 pressures from outside organ.29 cases were accepted EMR and 18 cases accepted surgical operation.Conclusion MPS is more valuable in the diagnosis and the differential diagnosis of submucosal protrusion lesion in gastric and can guide the further therapy.