胃肠间质瘤内镜下诊断和治疗研究进展  

Research progress of endoscopic diagnosis and treatment for gastrointestinal stromal tumor

作　　者：马佳林 徐伟 周春晓 MA Jialin;XU Wei;ZHOU Chunxiao(Department of Gastroenterology,Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou,Jiangsu,215000;Department of General Surgery,Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou,Jiangsu,215000)

机构地区：[1]南京医科大学附属苏州医院消化科,江苏苏州215000 [2]南京医科大学附属苏州医院普外科,江苏苏州215000

出　　处：《实用临床医药杂志》2023年第14期131-136,共6页Journal of Clinical Medicine in Practice

基　　金：江苏省苏州市“科教兴卫”青年科技项目(KJXW202022025);2021年度苏州市科技发展计划医疗卫生科技创新-应用基础研究项目(SKJYD2021109)。

摘　　要：胃肠间质瘤(GIST)是胃肠道常见的间叶源性肿瘤,其具有恶性潜能,临床表现缺乏特异性。GIST是黏膜下肿瘤,病理组织获取困难,术前诊断难以明确。既往GIST多行外科手术进行切除治疗。近些年,随着内镜检查的广泛应用和超声内镜(EUS)技术的发展,GIST的诊断水平及病理组织获取能力有很大提高。内镜在治疗GIST方面具有创伤小、恢复快、并发症少、费用低等优势。本文结合国内外研究对GIST的内镜下诊断方法、内镜活检技术以及内镜下治疗方式进行综述。Gastrointestinal stromal tumor (GIST)is a common mesenchymal tumor of the digestive tract,and has malignant potential and lack of specificity in clinical manifestations.GIST is a submucosal tumor that is difficult to obtain pathological tissue,and preoperative diagnosis is difficult to determine.In the past,surgical resection was commonly performed for GIST.In recent years,with the widespread use of endoscopic examination and the development of endoscopic ultrasound(EUS)technology,the diagnostic level and ability to obtain pathological tissue of GIST have greatly improved.For the treatment of GIST,endoscopy has advantages such as minimal trauma,fast recovery,few complications,and low cost.This paper reviewed the endoscopic diagnostic methods,endoscopic biopsy techniques and endoscopic treatment modalities for GIST based on domestic and international researches.

关 键 词：胃肠间质瘤 超声内镜 直肠 结肠 食道 

分 类 号：R735[医药卫生—肿瘤] R573.9[医药卫生—临床医学]