内镜下圈套器联合异物钳全层切除治疗胃底小间质瘤临床疗效分析  

Clinical Effect Analysis of Endoscopic Snare Combined with Foreign Body Forceps in the Treatment of Small Stromal Ttumor of Gastric Fundus

作　　者：李迈 LI Mai(Tianjin Fourth Central Hospital,Tianjin 300140)

机构地区：[1]天津市第四中心医院,天津300140

出　　处：《中国医疗器械信息》2024年第2期70-72,共3页China Medical Device Information

摘　　要：目的:探讨内镜下圈套器联合异物钳全层切除治疗胃底小间质瘤临床疗效。方法:回顾性纳入2017年1月~2023年1月于本院接受内镜治疗胃底小间质瘤患者52例,根据内镜手术方案差异分为两组:对照组20例采用黏膜下隧道内镜切除术治疗,试验组32例采用内镜下圈套器联合异物钳全层切除治疗;比较两组手术时间、术中出血量、完整切除率、创面完全愈合率及围手术期并发症发生率。结果:试验组手术时间和术中出血量均显著少于对照组(P<0.05)。两组完整切除率、创面完全愈合率及并发症发生率比较差异无统计学意义(P>0.05)。结论:相较于黏膜下隧道内镜切除术,内镜下圈套器联合异物钳全层切除治疗胃底小间质瘤具有操作简便、手术用时短及医源性创伤小等优势,同时整体疗效及安全性接近。Objective:To investigate the clinical effect analysis of endoscopic snare combined with foreign body forceps in the treatment of small stromal tumor of gastric fundus.Methods:52 patients with small stromal tumor of gastric fundus were retrospectively chosen in the period from January 2017 to January 2023 in our hospital.All patients were divided into the following two groups according to the differences in endoscopic surgical plans including control group with 20 cases treated with submucosal tunnel endoscopic resection and experiment group with 32 cases treated by endoscopic snare combined with foreign body forceps.The operative time,intraoperative blood loss,complete resection rate,wound healing rate and perioperative complication rate of 2 groups were compared.Results:The operation time and intraoperative blood loss of experiment group was significantly less than control group(P<0.05).The intraoperative blood loss of experiment group was significantly less than control group(P<0.05).There was no significant difference in the complete resection rate,wound healing rate and complication rate between 2 groups(P>0.05).Conclusion:Compared with submucosal tunnel endoscopic resection,endoscopic snare combined with foreign body forceps in the treatment of small stromal tumor of gastric fundus has the advantages of simple operation,short operation time and less iatrogenic trauma,and the overall efficacy and safety are close with submucosal tunnel endoscopic resection.

关 键 词：内镜下治疗 圈套器 异物钳 间质瘤 

分 类 号：R573.9[医药卫生—消化系统]