内镜黏膜下剥离术在消化道隆起性病变中的临床应用  

Clinical outcomes of endoscopic submucosal dissection for protrusive lesions in digestive tract

作　　者：李鹃[1] 贾玉良[1] 袁鹤鸣[1] 何池义[1] 韩真[1] LI Juan JIA Yuliang YUAN Heming HE Chiyi HAN Zhen(Department of Gastroenterology, The First Affilatd Hospital of Wannan Medical College, Wuhu 241001, China)

机构地区：[1]皖南医学院第一附属弋矶山医院消化内科,安徽芜湖241001

出　　处：《皖南医学院学报》2017年第1期46-48,共3页Journal of Wannan Medical College

摘　　要：目的:探讨内镜下黏膜剥离术(ESD)治疗消化道隆起性病变的疗效和安全性。方法:对内镜下发现消化道隆起性病变96例患者给予ESD手术治疗,统计手术病灶完整切除率,术后病理、并发症。结果:手术病灶完整切除率93.75%(90/96)。术后病理:间质瘤20例,平滑肌瘤12例,低级别上皮内瘤变12例,腺瘤型息肉11例,神经内分泌肿瘤9例,炎性息肉7例,异位胰腺5例,高级别上皮内瘤变4例,增生性息肉4例,脂肪瘤3例,腺癌2例,其他病变7例。并发症:3例出血,2例穿孔。结论:ESD治疗具有安全有效、复发率低、并发症少等优点,为临床诊断和治疗提供新策略。Objective： To evaluate the efficacies and safety of endoscopic submucosal dissection（ ESD） in the treatment of protrusive lesions in digestive tract.Methods： A total of 96 patients with protrusive lesions in digestive tract,confirmed endoscopically,underwent ESD,and statistics was applied to the complete resection rate,postoperative pathological findings and complications.Results： Complete resection rate was 93.75%. Postoperative pathological examination indicated stromal tumor in 20 cases,leiomyoma in 12,low-grade intraepithelial neoplasm in 12,adenomatous polyp in 11,neuroendocrine tumor in 9,inflammatory polyp in 7,ectopic pancreas in 5,high-grade intraepithelial neoplasm in 4,hyperplastic polyp in 4,lipoma in 3,adenocarinoma in 2,and other lesions in 7.Complications were associated with bleeding in 3 cases,and perforation in 2. Conclusion： ESD may be a new diagnostic and treatment strategy for protrusive lesions in digestive tract for its safety,effectiveness,lower relapse and fewer complications.

关 键 词：内镜下黏膜剥离术 隆起性病变 消化道 手术治疗 

分 类 号：R735[医药卫生—肿瘤]