橡皮圈腔内牵拉法在内镜黏膜下剥离术中辅助价值研究  

Application of rubber band traction to endoscopic submucosal dissection

作　　者：牛应林[1] 黄鑫源 冀明[1] 翟惠虹[1] 张倩 李鹏[1] 俞力[1] 吕富靖[1] 张澍田[1] Niu Yinglin;Huang Xinyuan;Ji Ming;Zhai Huihong;Zhang Qian;Li Peng;Yu Li;Lyu Fujing;Zhang Shutian(Department of Gastroenterology,Beijing Friendship Hospital,Capital Medical University,National Clinical Research Center for Digestive Diseases,Beijing Digestive Disease Center,Beijing Key Laboratory for Precancerous Lesion of Digestive Diseases,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院消化内科国家消化系统疾病临床医学研究中心北京市消化疾病中心消化疾病癌前病变北京市重点实验室,北京100050

出　　处：《中华消化内镜杂志》2022年第2期114-117,共4页Chinese Journal of Digestive Endoscopy

摘　　要：目的评价橡皮圈腔内牵拉法用于内镜黏膜下剥离术(endoscopic submucosal dissection, ESD)中的有效性及安全性。方法纳入2016年1月-2019年12月因直肠内分泌瘤就诊于首都医科大学附属北京友谊医院的49例患者, 其中2016年1月-2018年5月行常规ESD的患者32例(非牵拉组), 2018年6月-2019年12月行橡皮圈腔内牵拉ESD的患者17例(牵拉组), 比较2组患者基本信息、ESD手术时间、并发症等指标。结果牵拉组和非牵拉组在年龄、性别及病变大小方面差异均无统计学意义(P均>0.05)。牵拉组ESD操作时间为(13.76±5.71)min, 非牵拉组ESD操作时间为(22.99±10.32)min, 两者差异有统计学意义(t=-3.408, P=0.001)。牵拉组未发生术后并发症, 非牵拉组有3例出现穿孔, 但穿孔发生率差异无统计学意义(P=0.542)。结论橡皮圈腔内牵拉法辅助ESD, 可以安全完成ESD操作并有效提高剥离效率。Objective To evaluate the efficacy and safety of rubber band traction-assisted endoscopic submucosal dissection(ESD).Methods A total of 49 patients with rectal endocrine tumor who underwent ESD at Beijing Friendship Hospital Affiliated to Capital Medical University from January 2016 to December 2019 were reviewed.Thirty-two patients who underwent traditional ESD from January 2016 to May 2018 were assigned to the non-traction group.Seventeen patients who underwent the operation with a rubber band as auxiliary traction from June 2018 to December 2019 were assigned to the traction group.Basic information,ESD procedure time,complications were compared between the two groups.Results There were no significant differences in age,gender or lesion size between the traction group and the non-traction group(P>0.05).The ESD operation time of the traction group was significantly shorter than that of the non-traction group(13.76±5.71 min VS 22.99±10.32 min,t=-3.408,P=0.001).There were no postoperative complications in the traction group,but 3 cases of perforation occurred in the non-traction group.There was no significant difference in the incidence of perforation between the two groups(P=0.542).Conclusion Rubber band traction can safely improve the efficiency of ESD.

关 键 词：神经内分泌瘤 内镜黏膜下剥离术 牵拉 直肠病变 

分 类 号：R735[医药卫生—肿瘤]