胃镜及超声内镜诊治胃类癌患者效果观察  

Efficacy of gastroscopy and ultrasonography miniature probe in diagnosis and treatment for gastric carcinoid

作　　者：董海燕[1] 王玉龙[2] 贾欣永[1] 李国栋[1] 庞秋萍[1] 郭荣[1] 

机构地区：[1]山东大学附属千佛山医院内镜诊疗科,济南250014 [2]山东大学附属千佛山医院普外中心,济南250014

出　　处：《中华消化病与影像杂志（电子版）》2012年第4期7-9,共3页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

摘　　要：目的探讨胃镜、超声内镜对胃类癌患者的诊断价值及内镜下治疗胃类癌的效果。方法收集2006年1月至2012年2月山东大学附属千佛山医院行胃镜检查示胃内隆起性病变、经超声内镜检查疑为胃类癌患者13例。其中1例溃疡型表现者行外科手术切除,其余12例分别行内镜下黏膜切除术及内镜下黏膜剥离术切除。所有患者均经活检或手术病理证实为胃类癌。结果行内镜下切除的12例胃类癌患者中,1例发生穿孔,其余11例均无明显并发症;切除瘤体边缘和基底无肿瘤累及。结论超声内镜可明确胃类癌病变的大小、边界、深度、有无肌层及周围血管浸润,指导内镜下治疗;内镜下黏膜切除术及内镜下黏膜剥离术治疗胃类癌患者疗效确切。Objective To evaluate the clinical application of endoscopic ultrasonography and gastroscopy in the diagnosis and treatment of gastric carcinoid tumors. Methods Endoscopic ultrasonography was performed in stomach elevated lesions that had normal mucosal appearance, and 13 cases were diagnosed as gastric carcinoid tumors. One was confirmed by biopsy and underwent operation and the remaining 12 were resected by using endoscopic mucosal resection （EMR） or endoscopic submucosal dissection（ESD）. Thirteen cases were all confirmed histopathologically. Results Complete resection was achieved with no bleeding, but 1 perforation. No tumor residues were found at the border or base of the resected specimens. Conclusion Endoscopic ultrasonography can provide precise information of gastric carcinoid, and therapeutic result of EMR and ESD for carcinoids are definite.

关 键 词：胃镜检查 腔内超声检查 胃肿瘤 自然腔道内镜手术 

分 类 号：R735.2[医药卫生—肿瘤]