食管平滑肌瘤诊断和内镜治疗进展  

Progress in Diagnosis and Endoscopic Treatment of Esophageal Leiomyoma

作　　者：崔健帅 聂占国[2] 陶林 赵雨潇 陈玉茹 苏元元 CUI Jianshuai;NIE Zhanguo;TAO Lin;ZHAO Yuxiao;CHEN Yuru;SU Yuanyuan(Graduate School of Xinjiang Medical University,Urumqi,830017;Department of Gastroenterology,General Hospital of Xinjiang Military Region,Urumqi)

机构地区：[1]新疆医科大学研究生院,830017 [2]新疆军区总医院消化内科

出　　处：《胃肠病学》2023年第6期371-375,共5页Chinese Journal of Gastroenterology

摘　　要：食管平滑肌瘤是最常见的食管良性肿瘤,该病患者通常无临床症状。随着内镜超声技术的发展和广泛应用,其确诊率逐年上升。其诊断方法由最初的食管造影、胸部电子计算机断层扫描,至内镜超声、内镜超声引导下细针抽吸术和内镜超声引导下细针活体组织检查术,技术不断更新,诊断准确率不断提升。其治疗方法也由之前的开胸手术到胸腔镜手术,近年来向内镜下黏膜切除术、内镜黏膜下剥离术、内镜黏膜下挖除术、内镜下全层切除术和内镜经黏膜下隧道肿瘤切除术等超微创技术转变。本文就食管平滑肌瘤诊断和内镜治疗进展作一综述。Esophageal leiomyoma is the most common benign tumor of the esophagus,usually asymptomatic.With the development and widespread application of endoscopic ultrasonography technology,its detection rate has been increasing year by year.Its diagnostic methods have evolved from initial esophagography and chest electronic computed tomography,to endoscopic ultrasonography,endoscopic ultrasonography⁃guided fine⁃needle aspiration,and endoscopic ultrasonography⁃guided fine⁃needle biopsy.The technology is constantly updated,and the diagnostic accuracy is constantly improving.The treatment methods have also shifted from previous open chest surgery to thoracoscopic surgery,and in recent years,there has been a shift towards ultra minimally invasive techniques such as endoscopic mucosal resection,endoscopic submucosal dissection,endoscopic submucosal excavation,endoscopic full⁃thickness resection,and submucosal tunnel endoscopic resection.This article provides a review of the diagnosis and endoscopic treatment progress of esophageal leiomyoma.

关 键 词：经黏膜下隧道肿瘤切除术 食管平滑肌瘤 内镜治疗 微创技术 诊断 

分 类 号：R735.1[医药卫生—肿瘤]