内镜经黏膜下隧道肿瘤切除术治疗颈部食管黏膜下良性肿瘤策略和并发症分析  

Endoscopic submucosal tunnel tumor resection for benign submucosal tumors of the cervical esophagus:Strategies and complications

作　　者：王晓松 朱季军 王玉欣 刘云云 王晓燕 Wang Xiaosong;Zhu Jijun;Wang Yuxing;Liu Yunyun;Wang Xiaoyan(Department of Gastroenterology,the No.1 People's Hospital of Suqian,Suqian 223800,China)

机构地区：[1]宿迁市第一人民医院消化内科,223800

出　　处：《中华临床医师杂志（电子版）》2020年第1期18-21,共4页Chinese Journal of Clinicians(Electronic Edition)

基　　金：宿迁市重点研发计划(社会发展S201724);宿迁市科技支撑计划项目(S201629)。

摘　　要：目的评估内镜经黏膜下隧道肿瘤切除术(STER)治疗颈部食管黏膜下肿瘤的可行性及安全性。方法收集2017年1月至2018年1月本院收治的12例颈部食管黏膜下良性肿瘤并接受STER治疗的患者资料,分析其整块切除率、治愈性切除率、手术及住院时间、术后相关并发症。结果12例颈部食管黏膜下肿瘤均行STER治疗,男7例,女5例,年龄(58.3±11.6)岁,病灶距门齿(19.41±0.51)cm,切除瘤体直径(16.25±6.44)mm,手术时间为(45.00±6.57)min,整块切除率91.67%(11/12),治愈性切除率100%(12/12)。术中出血1例(8.33%,1/12),无穿孔,术后有8例(66.67%,8/12)出现不同程度发热,有9例(75.00%,9/12)出现咽喉部不适或胸骨后烧灼不适,住院时间为(8.17±1.11)d,术后随访未发现病变残留、复发及食管狭窄。结论STER治疗颈部食管黏膜下良性肿瘤是安全有效的治疗方法。Objective To evaluate the feasibility and safety of endoscopic submucosal tunnel tumor resection for benign submucosal tumors of the cervical esophagus.Methods Twelve patients undergoing endoscopic submucosal tunnel resection for cervical esophageal submucosal tumors from January 2017 to January 2018 at our hospital were collected,and the en bloc resection rate,curative resection rate,hospital stay,and related complications were analyzed.Results All the 12 patients with cervical esophageal submucosal tumors underwent endoscopic submucosal tunnel tumor resection,including 7 males and 5 females.Their mean age was(58.3±11.6)years,the average distance from the incisors was(19.41±0.51)cm,the diameter of resected tumors was(16.25±6.44)mm,and the operating time was(45.00±6.57)min.The en bloc resection rate was 91.67%(11/12),and the curative resection rate was 100%(12/12).There was no perforation during the operation,but one case had intraoperative bleeding.Fever occurred in 8(66.67%)cases after operation,and throat discomfort or post-breast bone burning sensation developed in 9(75.00%)cases.The mean hospital stay was(8.17±1.11)days.No residual lesions,recurrence,or esophageal stricture were found during follow-up.Conclusion Endoscopic submucosal tunnel tumor resection can be used as a safe and effective method for benign submucosal tumors of the cervical esophagus.

关 键 词：黏膜下隧道肿瘤切除术 内镜 颈部食管黏膜下良性肿瘤 并发症 

分 类 号：R735.1[医药卫生—肿瘤]