直肠类癌内镜黏膜下剥离治疗的临床研究  

Clinical study of endoscopic submucosal dissection treatment of rectal carcinoid

作　　者：朱建华[1] 马景欣 孟晓姣[1] 李楠[1] 

机构地区：[1]解放军第309医院消化科内镜中心,北京100091

出　　处：《临床消化病杂志》2015年第3期162-164,共3页Chinese Journal of Clinical Gastroenterology

摘　　要：[目的]探讨超声内镜（endoscopic ultrasonography，EUS）诊断、内镜黏膜下剥离（endoscopic submucosal dissection，ESD）治疗直肠类癌的临床疗效及安全性。[方法]对经EUS证实并行ESD治疗的12例直肠类癌患者的临床资料进行回顾性分析。12例均在内镜下标识预切除范围、黏膜下多次注射、黏膜切开、病变剥离及创面钛夹处理。[结果]12例直肠类癌直径0．6～1．8cm，均一次性切除，病灶基底与周缘无类癌组织累及。随诊6～25个月无复发。[结论]经EUS证实行ESD治疗直径〈2cm，未浸及固有肌层、无远处转移的直肠类癌疗效确切、安全性好，适宜开展。[Objective] To study the endoscopic ultrasonography（EUS）diagnosis and clinical curative effect of endoscopic submucosal dissection（ESD） on rectal carcinoid. [Methods]Retrospective analysis of 12 cases of rectal carcinoid detected by endoscopic ultrasonography and treated by ESD. Endoscopic submucosal pre-identificated, multiple injections, mucosal incision, stipping and would lesion titanium dips treatment. [Results]Twelve cases of rectal carcinoid tumor which diameter 0.6-l. 8 cm, were one-time dissected,there were no carcinoid tissue in the basal and peripheral tissues of the tumors. During the following 6-25 months,no recurrence case was found. [Conclusion]Rectal carcinoid tumor with diameter less than 2 cm can be detected accurately by EUS and get curative effect and good security by ESD treatment.

关 键 词：直肠类癌 超声内镜 内镜黏膜下剥离 

分 类 号：R735.37[医药卫生—肿瘤]