食管高级别上皮内瘤变的诊断与治疗  

作　　者：曹亮[1] 何亚龙[1] 蒋小猛[1] 黄红梅[1] 

机构地区：[1]江苏大学附属医院,212001

出　　处：《首都医药》2014年第24期57-58,共2页Capital Medicine

摘　　要：目的总结食管高级别上皮内瘤变诊断及治疗方法。方法回顾性分析28例食管高别上皮内瘤变患者的临床资料。结果接受内镜粘膜下剥离术手术治疗的28例患者中,16例(57%)术后病理证实维持高级别上皮内瘤变的诊断,其余12例(43%)术后则诊断为食管癌。结论内镜下病理检查诊断食管高级别上皮内瘤变准确率57%,内镜下活检不能作为高级别上皮内瘤变的确诊依据,应积极随访甚至手术干预。内镜粘膜下剥离术为治疗食管高级别上皮内瘤变的有效方法。methods Objective for and treatment the of To summarize diagnosis esophageal intraepithelial neoplasia on high grade. Methods The clinical data of 28 cases with esopha intraepithelial neoplasia on grade were ana Results Among from Endoscopic geal high lyzed retrospectively 28 patients suffering Submucosal Dissection （ESD）,pathologies of all patients were as follows： 16 cases （57 %） intraepithelial neoplasia on high grade, 12 cases （43 %） esophageal carcinoma. Conclusions The accuracy of endoscopic pathologic examination in the diagnosis of esophageal intraepithelial neoplasia on high grade was 57%.Endoscopic biopsy did not identify esophageal intraepithelial neoplasia on high grade and actively follow-up or surgical intervention were must. ESD was effective method for treatment of esophageal intraepithelial neoplasia on high grade.

关 键 词：高级别上皮内瘤变 内镜粘膜下剥离术 

分 类 号：R735.1[医药卫生—肿瘤]