内镜超声指导下食管黏膜下切除术的疗效研究  

Submucosal myoma resection by guidance of esophageal endoscopic ultrasound

作　　者：贾方[1] 邝胜利[1] 杨惠[1] 杨帆[1] 

机构地区：[1]河南省人民医院消化内科,河南郑州450003

出　　处：《局解手术学杂志》2014年第3期298-299,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨在内镜超声指导下的食管黏膜下肿瘤切除术的应用。方法 2010年1月至2013年5月79例疑为上消化道黏膜下肿瘤患者进行内镜超声检查,并行内镜下黏膜下肿块切除和病理学检查,对比内镜超声检查与病理学检查结果,分析治疗效果及并发症情况。结果内镜超声检查准确提示了肿瘤所在层次,通过内镜下黏膜下肿瘤切除术切除了所有病变,术后5例发生少量出血,6例因切除黏膜较多造成食管狭窄,经处理后预后可。结论内镜超声检查能够准确判断黏膜下肿瘤,可用于指导黏膜下肿瘤切除术。Objective To investigate the effects of submucosal resection by guidance under esophageal endoscopic ultrasound. Methods 79 cases ofsuspected upper gastrointestinal submucosal tumors were found by endoscopic uhrasonography, transesophageal endoscopic ultra- sound showed lesions under muscularis mucosa, after informed consent, they were underwent endoscopic mucosal resection. Pathological diag- nose of the lesions were found out after resection. Results Compared with pathological results showed that endoscopic ultrasound accurately determine tumor location in the hierarchy ;through endoscopic mucosal resection to remove all lesions ,5 patients were found bleeding postop- erative ,6 patients were found esophageal stricture, the prognosis was good after treatment. Conclusion Endoscopic ultrasonography can accu- rately determine submucosal myoma, it can be used to guide resection of submucosal myoma.

关 键 词：食管 黏膜下肿瘤 内镜超声 

分 类 号：R735[医药卫生—肿瘤]