内镜下隧道式黏膜剥离术治疗食管黏膜下肿瘤的临床疗效观察  

The clinical efficacy of endoscopic submucosal tunnel dissection in treatment of esophageal submucosal tumor

作　　者：宋希暖 孙美玲[1] 黄秀强[1] 李淑香[1] 徐丽君[1] 曲波[1] 

机构地区：[1]哈尔滨医科大学附属第二医院消化内科,黑龙江哈尔滨150086

出　　处：《胃肠病学和肝病学杂志》2015年第12期1421-1422,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探究内镜下隧道式黏膜剥离术(endoscopic submucosal tunnel dissection,ESTD)治疗食管黏膜下肿瘤的疗效及安全性。方法选择42例在哈尔滨医科大学附属第二医院住院治疗的食管黏膜下肿瘤患者,均行ESTD。结果所有患者均顺利完成手术,手术成功率为100%;所有患者均未出现严重的并发症,其中,7例术后出现胸骨后不适感;3例出现发热;1例皮下气肿。结论治疗食管黏膜下肿瘤,ESTD是安全、有效的方式,但仍需长期随访。Objective To explore the efficacy and safety of the endoscopic submucosal tunnel dissection （ESTD） in treatment of esophageal submucosal tumor. Methods Forty-two cases were treated in the Second Affiliated Hospital of Harbin Medical University who suffered from esophageal submucosal tumor, and were treated with ESTD. Results All patients were successfully operated, successful rate of operation was 100%. All patients did not appear serious compli- cations, including 7 cases of postoperative chest discomfort, 3 cases of fever, 1 case of subcutaneous emphysema. Con- clusion ESTD for esophageal submucosal tumors is a safe and effective way, but it still needs a long-term follow-up.

关 键 词：内镜下隧道式黏膜剥离术 食管黏膜下肿瘤 食管 

分 类 号：R735.1[医药卫生—肿瘤]