内镜下皮圈套扎术对胃间质瘤的治疗价值  

The therapeutic value of endoscopic band ligation in gastric stromal tumors

作　　者：刘香[1] 孙思予[1] 葛楠[1] 王晟[1] 吕庆杰[2] 杨飞[1] 

机构地区：[1]中国医科大学附属盛京医院内镜中心,沈阳110004 [2]中国医科大学附属盛京医院病理科,沈阳110004

出　　处：《中华消化内镜杂志》2008年第5期236-238,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的 探讨内镜下皮圈套扎术对胃间质瘤的治疗价值。方法 选择胃固有肌层间质瘤患者29例（间质瘤直径〈12mm），行内镜下套扎治疗，术后行常规内镜及EUS随访。结果 28例患者完全治愈，创面在术后4～6周（平均4．8周）内愈合良好；1例患者瘤体未完全脱落，行再次套扎治疗。1例患者术后出现上消化道出血，行内镜下金属夹止血；其他患者未出现术后并发症。全部随访36～51个月，1例术后3个月复发，腹腔镜下切除；其余病例未见复发。结论 对于〈12mm的胃肠间质瘤，内镜套扎术治疗并进行术后超声内镜系统随访是有效而安全的。Objective To evaluate the therapeutic value of endoscopic band ligation in gastric stromal tumors. Methods Twenty-nine patients with small gastric stromal tumors （diameter 〈 12mm） underwent endoscopic band ligation, and were followed up with routine endoscopy and EUS. Results Twentyeight patients recovered completely, with the surface healing up 4-6 weeks （average 4.8 weeks） thereafter. The neoplasm did not slough off in one patient, so be underwent a second ligation. Hemorrhage occurred in one patient three days after ligation, but was successfully managed with hemoelips. Other patients showed no complications. All the patients were followed up for 36 to 51 months, and there was one case of recurrence. Conclusion Endoscopic band ligation is an effective and safe treatment for small GISTs of less than 12 nun.

关 键 词：胃肠道间质肿瘤 内窥镜 治疗 套扎 内窥镜超声检查 

分 类 号：R735[医药卫生—肿瘤]