超声内镜诊断胃间质瘤与胃平滑肌瘤的价值

doi:10.3969/j.issn.1671-7171.2025.02.016

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Abstract 【Objective】To investigate the value of endoscopic ultrasonography in the diagnosis of gastric stromal tumor and gastric leiomyoma.【Methods】A total of 59 patients with gastric stromal tumor (the observation group) and 44 patients with gastric leiomyoma (the control group) admitted to our hospital from July 2017 to July 2023 were selected. All patients underwent endoscopic ultrasonography before surgery. General data of the two groups were compared with endoscopic features (lesion site, size, boundary, origin level, echo, presence or absence of mucosal bridge, liquefaction, calcification, and ulcer), and the risk factors of gastric stromal tumor were determined by multivariate Logistic regression analysis.【Results】There was no significant difference in lesion site, boundary, mucosal bridge, liquefaction and ulcer between the two groups (P>0.05). The proportion of uniform echo, no calcification and clear boundary in control group was higher than that in observation group, and the difference was statistically significant (P<0.05). Multivariate Logistic regression analysis showed that the risk factors of gastric stromal tumor were uneven echo, calcification and unclear boundary (P<0.05).【Conclusion】Endoscopic ultrasound can be used in the differential diagnosis of gastric stromal tumor and gastric leiomyoma. Patients with uneven echo, calcification and unclear boundary should be paid close attention to avoid misdiagnosis and missed diagnosis.

Key words： Stomach Neoplasms Mesothelioma Leiomyoma Endoscopy, Gastrointestinal

Received: 16 May 2024

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R735.2

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	DENG Zhaoliang
	YANG Hongmei

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DENG Zhaoliang,YANG Hongmei. Value of Endoscopic Ultrasonography in the Diagnosis of Gastric Stromal Tumor and Gastric Leiomyoma[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(2): 232-234.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2025.02.016 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2025/V42/I2/232

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