内镜下微创治疗消化道SMT 94例的临床分析  

Endoscopic treatment for gastrointestinal submucosal tumor: A clinical analysis of 94 patients

作　　者：黄丽韫[1] 毛华[1] 余建林[1] 

机构地区：[1]南方医科大学珠江医院消化内科,广州市510282

出　　处：《实用医学杂志》2014年第14期2265-2267,共3页The Journal of Practical Medicine

摘　　要：目的:探讨内镜下治疗消化道黏膜下肿物(SMT)的指征、方法、疗效及安全性。方法:对内镜检查中发现的94例消化道SMT行内镜微创治疗,22例行黏膜切除术(EMR),61例行黏膜剥离术(ESD),7例行多环黏膜切除术(MBM),4例行尼龙绳套扎治疗。结果:完全切除86例,残存切除1例,术中穿孔1例,转外科手术;4例SMT尼龙绳套扎治疗,1个月后复查时肿物已清除。所有病例随访1年,均无复发。结论:消化道SMT可应用EMR、ESD、MBM完整切除,对于较难处理部位的SMT可试行尼龙绳套扎术治疗,内镜下治疗SMT创伤小、安全、疗效好。Objective To discuss the indication, technique, effect, and safety of endoscopic treatment of SMT in gastrointestinal tract. Methods Endoscopic therapy was performed in 94 patients with gastrointestinal diagnosed by endoscopy. 22 cases underwent EMR; 61 cases were treated with ESD; MBM was exercised on 7 cases; and nylon endoloop ligature were carried out on 4 cases. Results Complete resection was achieved on 86 cases, and 1 case was excised partially. 1 patient with SMT was transferred to open surgery. Lumps of 4 SMT cases treated by nylon endoloop ligature were found disappeared at subsequent visit after a month. All patients were followed up for one year, and no recurrence was found. Conclusions Gastrointestinal SMT can be completely resected by EMR, ESD and MBM. Nylon endoloop ligature can be used for the treatment of SMT in position difficult to deal with. Endoscopic therapy is relatively safe, effective, and minimal invasion for SMT.

关 键 词：消化道 内镜微创治疗 

分 类 号：R735[医药卫生—肿瘤]