单环套扎器治疗上消化道黏膜下肿瘤的疗效分析  

Effectiveness of single-ring loop ligature in the treatment of upper gastrointestinal submucosal tumors

作　　者：王玮[1] 丁祥武[1] 王道蓉[1] 童旭东[1] 占义军[1] 

机构地区：[1]湖北文理学院附属襄阳市中心医院消化内科,湖北襄阳441021

出　　处：《胃肠病学和肝病学杂志》2016年第5期536-537,541,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的评估单环套扎器治疗上消化道黏膜下肿瘤的安全性及实用性。方法经电子超声胃镜诊断为上消化道黏膜下肿瘤患者59例,其中来源于黏膜肌层24例,黏膜下层9例,固有肌层26例,均应用单环套扎器进行套扎治疗,随访观察疗效和安全性。结果食管病变于套扎后均未出现出血、穿孔等严重并发症,3例胃底固有肌层病变因穿孔转外科手术治疗。结论对于直径<1.2 cm的食管黏膜下肿瘤,套扎器治疗安全有效,胃底位于固有肌层的黏膜下肿瘤仍有一定的穿孔几率。Objective To evaluate the clinical effectiveness and salty of single-ring loop ligature in the treatment of upper gastrointestinal submucosal tumors. Methods Fifty-nine patients with submucosal tumors diagnosed by endoscopic ultrasonography, there were 24 cases originated from muscularis mucosa, 9 cases originated from submucosa and 26 cases from muscularis propria. Single-ring loop ligature was performed to remove the tumors, and the clinical efficacy and safety were observed. Results No complications such as perforation or bleeding occurred in esophageal subepithelial lesions. There were 3 patients had accepted surgery because of perforations in gastric fundus. Conclusion Single-ring loop ligature proved to be a safe and effective method in the treatment of esophageal submucosal tumors less than 1.2cm, and perforation in gastric fundus can not be ignored.

关 键 词：上消化道黏膜下肿瘤 内镜治疗 单环套扎器 

分 类 号：R735[医药卫生—肿瘤]