超声内镜及内镜黏膜下剥离术对直肠类癌的诊疗价值  

Endoscopic ultrasonography in the diagnosis and endoscopic submucosal dissection in treatment of rectal carcinoid tumors

作　　者：姚国华[1] 王孟春[2] Guo-hua Yao;Meng-chun Wang(Department of Internal Medicine, Tianjin Children’s Hopital, Tianjin 300060, China;Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China)

机构地区：[1]天津市儿童医院内科,天津300060 [2]中国医科大学附属盛京医院消化科,辽宁沈阳110004

出　　处：《中国内镜杂志》2017年第8期99-104,共6页China Journal of Endoscopy

摘　　要：目的探讨超声内镜(EUS)对直肠类癌治疗的指导价值,及内镜黏膜下剥离术(ESD)对直肠类癌治疗的安全性及有效性。方法对临床考虑直肠类癌的患者进行EUS检查,根据EUS结果选择适合的治疗方案。结果 45例术前病理确诊的类癌病例,42例经ESD治疗,2例累及固有肌层及1例浸透浆膜层并伴有周围淋巴结转移者,经外科手术治疗。结论 EUS能够明确直肠类癌的大小、浸润深度、有无周围淋巴结肿大,对其治疗有较高的指导价值。对于小于20 mm直肠类癌,ESD是一种安全、有效的方法。Objective To evaluate the clinical value of endoscopic ultrasonography(EUS)in diagnosis andtreatment of rectal carcinoid tumom,and the safety and efficacy of endoscopic submucosal dissection(ESD)for rectalcarcinoid tumors.Methods All the submucous tumor considered rectal carcinoid tumor received EUS examinationand according to the result to select appropriate therapeutic regimen.Results All the45lesions were verified rectalcarcinoid tumors by pathological examination.42patients received endoscopic submucosal dissection.Two tumorsinvaded into the muscularis propria and one tumor invaded beyond serosa and with lymph node metastasis receivedsurgical strategy.Conclusion EUS can be used to determine surgical strategy for rectal carcinoid tumor for itprovides precise information of the size,depth,border,muscularis propria or vessel infiltration of the tumor.Forrectal carcinoid tumors smaller than20mm in diameter,ESD is safe and effective.

关 键 词：类癌 超声内镜 内镜黏膜下剥离术 

分 类 号：R735.37[医药卫生—肿瘤]