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《Chinese Medical Record》 2012-05
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Application Value of Miniprobe Endoseopic Ultrasonography in the Diagnosis of Gastric Leiomyoma

Zhu Yanli,Cui Ying,Sun Shaojie,Wang Yanfeng,Feng Xiujuan,Ren Xiuying,Song Wenling,Geng Jiaying,the First Hospital Affiliated to Jiamusi University,Jiamusi 154003,Heilongjiang Province,China,Liu Liang* Jiamusi Cancer Hospital,Jiamusi 154003,Heilongjiang Province,China  
Objectives This paper studies the application value of miniprobe endoscopic ultrasonography in the diagnosis of gastric leiomyoma.Methods 125 patients who were diagnosed protrusion lesion in stomach by gastroscopy.76 patients were diagnosed gastric leiomyoma by using miniprobe endoscopic ultrasonography which was treated by using endoscopic submucosa resection(EMR) or endoscopic submucosa dissection(ESD).After treatment the specimens were checked by pathology and compared with the result of MEUS and gastroscope.Results Totally Seventy-six cases are all proved gastric leiomyomas by MEUS,62 from muscularis mucosa were treated by endoscopic mucosal resection(EMR);14 from muscle layer were treated by endoscopic submucosal disseetion(ESD).Lesion locate in bottom of stomach are 14 cases,28 cases in the body of stomach and 34 cases in gastric antrum;64 cases of diameter less than 2cm and 12 cases of diameter larger than 2cm.76 patients had success lesion excision;7.5MHZ suitable for lesion internal echo and 12MHZ suitable for clear source of lesion.They are all proved gastric leiomyomas by pathology,whose original layer is the same with the diagnosis of MEUS.The accurate of endoscopic ultrasonography was 100%.Conclusion Different layers of stomach with protrusion lesion can be distinguished clearly by MEUS.It is an effective and safe with little trauma method that endoseopic therapy of gastric leiomyoma according the result of miniprobe endoscopic ultrasound.
【CateGory Index】: R735.2
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