食管乳头状瘤应用内镜活检钳除术的临床分析  

Clinical Analysis of Esophageal Papilloma Using Endoscopic Biopsy Forceps

作　　者：邹伟清 吴建维[1] 薛立峰[1] 江斯 ZOU Weiqing;WU Jianwei;XUE Lifeng(The People’s Hospital of Bao’an District,Shenzhen 518101,China)

机构地区：[1]广东省深圳市宝安区人民医院,广东深圳518101

出　　处：《中国医学创新》2018年第19期105-107,共3页Medical Innovation of China

摘　　要：目的:探讨分析食管乳头状瘤应用内镜活检钳除术的临床效果。方法:选取2014年9月-2016年9月本院消化内科确诊收治的75例食管乳头状瘤患者作为研究对象,所有患者采用消化道电子内镜进行观察,并采用活检钳钳除术进行治疗。分析应用内镜活检钳除术的临床效果,并进行随访1年了解患者术后复发情况。结果:75例患者的内镜下活检钳钳除术均获得了成功,共钳除83枚食管乳头状瘤,其中62枚为钳夹一次完整切除,21枚为钳夹2次完全钳除。术后患者均存在不同程度的创面渗血,其中38例出血自行停止,19例患者在经喷洒盐水后出血停止,16例在经内镜镜压迫或喷洒去甲肾上腺素冰盐水后出血停止,而2例患者经过上述处理无效给予钛夹或热活检钳凝固止血。经术后1个月胃镜复查,均未见病灶残留,一次性治疗成功成功率为100%。随访一年,胃镜复查时仅有2例复发,复发率2.66%,且并非在原发病部位,均没有发现食管癌病变。结论:食管乳头状瘤属于食管的良性肿瘤,瘤体通常较小,通过内镜下活检钳除术进行处理,并采用适当的止血措施即能治愈,操作简单,复发率低,适合于没有微波、电凝以及氩气刀等设备的基层医院使用。Objective:To explore the clinical effect of endoscopic biopsy forceps for the analysis of esophageal papilloma.Method:75 patients with esophageal papilloma confirmed were selected in our digestive internal medicine from September 2014 to September 2016 as the research objects,they were observed by the digestive tract electronic endoscope,they were given the biopsy forceps clamps in addition to surgery treatment.The clinical effect of endoscopic biopsy forceps was analyzed and the recurrence of patients after 1 year of followup was studied.Result:75 patients with endoscopic biopsy forceps in addition were successful,a total of forceps in addition to 83 esophageal papilloma,of which 62 for clamps a complete resection,21 of clamps two completely new clamp,postoperative patients had different degrees of wound bleeding,38 patients will automatically stop bleeding,19 patients stop bleeding after spray the salt water,16 cases in the endoscopic oppression or sprayed with norepinephrine ice salt water and stop bleeding,and 2 patients were treated with the invalid give titanium clip or hot biopsy forceps coagulation hemostasis.After 1 month after surgery,no lesion was found in the endoscopy,and the success rate of one-time treatment was 100%.During the follow-up of one year,only 2 cases of recurrence occurred in the gastroscopy,and the recurrence rate was 2.66%,and no esophageal cancer lesions were found in the original site.Conclusion:Esophageal papilloma belongs to benign tumors of the esophagus,tumors are usually smaller,by endoscopic biopsy forceps in addition to the processing operation,and adopt the proper hemostatic measures which can cure,simple operation,low recurrence rate,suitable for no microwave,electric coagulation and argon knife basic-level hospitals use of the equipment.

关 键 词：食管乳头状瘤 内镜活检钳除术 临床效果 复发率 

分 类 号：R735.1[医药卫生—肿瘤]