微探头超声内镜联合内镜黏膜下剥离术治疗上消化道黏膜下肿瘤的临床疗效分析  

Analysis of clinical efficacy of endoscopic ultrasonography combined with endoscopic submucosal dissection in the treatment of submucosal tumors of upper digestive tract

作　　者：陈嘉嘉 王明 Chen Jiajia;Wang Ming(Department of Gastroenterology,Qionghai People’s Hospital,Qionghai 571400,China)

机构地区：[1]琼海市人民医院消化内科,海南琼海571400

出　　处：《海军医学杂志》2023年第8期822-825,共4页Journal of Navy Medicine

摘　　要：目的探索微探头超声内镜联合内镜黏膜下剥离术治疗上消化道黏膜下肿瘤的临床效果。方法回顾性分析琼海市人民医院消化内科2019年10月至2021年10月就诊的82例上消化道黏膜下肿瘤患者一般资料,根据不同手术方式将其分为对照组和观察组(各41例)。对照组患者采用微探头超声+内镜黏膜下切除术,观察组患者采用微探头超声+内镜黏膜下剥离术,比较2组患者手术效果。同时,随访12个月后比较2组患者复发率。结果观察组患者术中失血量少于对照组[(91.32±6.65)ml vs.(115.41±9.98)ml,P<0.05],一次性完整切除率高于对照组(100.00%vs.90.24%,P<0.05),术后并发症率低于对照组(4.88%vs.24.39%,P<0.05)。随访12个月后,观察组患者术后复发率低于对照组(0 vs.9.76%,P<0.05)。结论对上消化道黏膜下肿瘤患者进行微探头超声内镜联合内镜黏膜下剥离术治疗,治疗成功率和并发症发生情况优于黏膜下切除术。Objective To explore the clinical effects of micro probe endoscopic ultrasonography combined with endoscopic submucosal dissection in the treatment of upper gastrointestinal submucosal tumors.Methods Retrospective analysis was made on the general medical data of 82 patients with submucosal tumors of upper digestive tract recruited from the Department of Gastroenterology of Qionghai People's Hospital from October 2019 to October 2021.Depending on different surgical methods,the patients were divided into two groups,each consisting of 41.The patients in the control group were treated with microprobe ultrasound+endoscopic submucosal resection,while the patients in the observation group received microprobe ultrasound+endoscopic submucosal dissection.The surgical effects were compared between the two groups,and at the same time,the recurrence rate was also compared after 12‑month follow‑ups.Results The intraoperative blood loss in the observation group was lower than that in the control group(91.32±6.65 ml vs 115.41±9.98)(P<0.05).One complete resection rate in the observation group was higher than that in the control group(100.00%vs 90.24%)(P<0.05).The postoperative complication rate of the former was lower than that in the latter(4.88%vs 24.39%)(P<0.05).Meanwhile,after 12‑months follow‑ups,the postoperative recurrence rate in the observation group was lower than that in the control group(0%vs 9.76%)(P<0.05).Conclusion Microprobe endoscopic ultrasound combined with endoscopic submucosal dissection for the treatment of upper gastrointestinal submucosal tumors is superior to mucosal resection in terms of treatment success rate and rate of complications.

关 键 词：微探头超声内镜 内镜黏膜下剥离术 上消化道黏膜下肿瘤 临床分析 

分 类 号：R615[医药卫生—外科学]