内镜黏膜下挖除术治疗食管固有肌层肿瘤12例  

Endoscopic ultrasound-assisted endoscopic submucosal resection of tumors originating from the muscularis propria of the esophagus:an analysis of 12 cases

作　　者：杨维忠[1] 温必盛[1] 赖雪珍[1] 庞华兰[1] 徐艺华[1] 陈晓莉[1] 

机构地区：[1]海南省农垦总医院消化内镜科,海南省海口市570311

出　　处：《世界华人消化杂志》2010年第33期3569-3571,共3页World Chinese Journal of Digestology

摘　　要：目的:探讨内镜黏膜下挖除术(ESE)治疗食管固有肌层肿瘤的可行性,临床效果及其并发症等.方法:胃镜检查发现食管黏膜下肿瘤12例,经超声内镜检查肿瘤均位于食管固有肌层,对12例患者实行ESE.手术后1、3mo复查胃镜.结果:12例患者手术时间为90-150(平均100)min,肿瘤直径为1.1-2.2(平均1.5)cm.12例患者均一次性完整挖除出固有肌层肿瘤,无出血、穿孔及食管狭窄等并发症.术后病理检查及免疫组织化学染色为平滑肌瘤11例,间质瘤1例.结论:ESE治疗食管固有肌层肿瘤安全、有效,可达到外科治疗的效果.AIM： To evaluate the feasibility, efficacy and safety of endoscopic ultrasound-assisted endoscopic submucosal resection （ESR） of tumors originating from the muscularis propria of the esophagus. METHODS： Twelve patients with esophageal submucosal tumors revealed by gastroscopy were included in this study. Endoscopic ultrasound revealed that all tumors were located in the muscularis propria of the esophagus. Endoscopic submucosal resection was performed in all patients. The entire operation was performed under general anesthesia in the operating room. Gastroscopy was performed again one and three months postoperatively. RESULTS： The operation duration ranged from90 to 150 min, with an average value of 100 min. The size of tumors ranged from 1.1 to 2.2 cm, with an average value of 1.5 cm. All the tumors were resected en bloc. Postoperative patho- logical examination and immunohistochemical staining revealed leiomyoma in 11 patients and interstitialoma in one patient. CONCLUSION： Endoscopic submucosal resection is safe and effective in the management of tumors originating from the muscularis propria of the esophagus.

关 键 词：超声内镜 内镜黏膜下挖除术 食管固有肌层肿瘤 

分 类 号：R735.1[医药卫生—肿瘤]