胃间质瘤内镜超声量化评分系统对内镜下切除胃间质瘤风险性评估的价值  

Value of evaluating the risk of endoscopic resection of gastric stromal tumors by "Scoring System of Endoscopic Ultrasound Quantitative to Gastric Stromal Tumors"

作　　者：盛娟[1] 伍瑞[2] 左赞[3] 张华杰[1] 谢余澄[1] 余福兵[1] 郝玲[1] 何夕昆[1] 

机构地区：[1]云南省第二人民医院消化内科,云南昆明650021 [2]云南省昆明市延安医院消化内科,云南昆明650051 [3]云南省第一人民医院消化内科,云南昆明650032

出　　处：《中国内镜杂志》2015年第6期579-582,共4页China Journal of Endoscopy

基　　金：云南省科技计划基金资助项目(N o:2011FZ291)

摘　　要：目的通过分析胃间质瘤的内镜超声特征、进行量化评分,评估胃间质瘤内镜超声量化评分系统对内镜下切除胃间质瘤手术风险的价值。方法以无临床症状的、低度侵袭危险性的胃间质瘤为研究对象,应用内镜超声量化评分系统术前对内镜下切除胃间质瘤的风险进行评估,内镜超声量化评分为低度风险的患者选择内镜下切除。结果 21例内镜超声量化评分为低度风险的患者接受内镜下治疗,术后病理证实为胃间质瘤,除有1例患者术后出现0.2 cm×0.3 cm的胃壁缺损,经内镜下修补后愈合良好,余20例无并发症发生。术后3个月、6个月复查无病灶残留及复发情况。结论根据胃间质瘤内镜超声量化评分评估系统能在术前评估内镜下治疗胃间质瘤的风险,可降低内镜下切除胃间质瘤的术中、术后出血及穿孔的发生率,具有可行性、有效性,值得临床推广应用。【Objective】To analyze the characteristics of endoscopic ultrasound for gastric stromal tumors for quantitative score, to evaluate the risk of endoscopic resection of gastric stromal tumor by ＂Scoring system of endoscopic ultrasound quantitative to gastric stromal tumors＂.【Methods】The low risk of invasive gastric stromal tumors without clinical symptoms were selected as the research object. ＂ Scoring system of endoscopic ultrasound quantitative to gastric stromal tumors＂ was used to assess the risk of the preoperative endoscopic resection of gastric stromal tumor, low-risk score of patients by quantitative endoscopic ultrasound received endoscopic resection.【Results】21cases of patients with endoscopic ultrasound quantification rated as a low risk received endoscopic therapy, pathologically confirmed gastric stromal tumors, except for 1 patient postoperative 0.2 cm × 0.3 cm stomach wall defects after endoscopic treatment was cured, 20 cases were with no complications. No residual lesions occurred 3 months,6 months later. 【Conclusion】According to origin of tissue, the lesion development direction, maximum diameter,cross-sectional size of the lesions in the muscle layer, lateral margin of the lesion and the vertical distance from the serosa, the vascular through the lesions, lesions accumulating vessel diameter, and nearby blood vessels,we could evaluate the risk of endoscopic resection of gastric stromal tumor by ＂Scoring system of endoscopic ultrasound quantitative to gastric stromal tumors＂, which can reduce the incidence of bleeding and perforation during endoscopic resection of gastric stromal tumors. The scoring system is feasible, effective and worthy of clinical application.

关 键 词：内镜超声 胃间质瘤 侵袭 肿瘤 内镜下切除 

分 类 号：R735.2[医药卫生—肿瘤]