实用临床医药杂志2011，Vol.15Issue(24)：70-71,74,3.
内镜黏膜下剥离术治疗食管平滑肌瘤的疗效分析
Analysis of efficacy of endoscopic submucosal dissection for esophageal leiomyoma
许庆华 1刘鹏飞 1项斌 1郁心圃1
作者信息
- 1. 东南大学附属江阴市人民医院消化内科,江苏江阴,214400
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of endoscopic submucosal dissec tion (ESD) for esophageal leiomyoma. Methods Thirty cases of esophageal leiomyomas were treat ed with ESD. The dissection condition, operation time, complications during and after operation were observed. Results Of 30 cases of esophageal leiomyomas, lesions ranged from 1.5 to 2.5 cm (mean resected size was 2.0 cm). All these cases were resected en bloc and the operation time was from 30 to 90 minutes (mean time was 60 minutes). Intraoperative minimal hemorrhage could be stopped with electric coagulation or hot biopsy clamp. Three cases had massive hemorrhage, which were typically stopped with metallic endoclips. Histological evaluation showed that the tunica of the tumors was intact, and both the lateral and basal margins of the specimens were free of tumor cells. Patients were followed up 6 month and no recurrence was found. Conclusion ESD is an efficacious and safe endoscopic surgical procedure for the treatment of esophageal leiomyoma.关键词
内镜黏膜下剥离术/食管平滑肌瘤/内镜超声Key words
endoscopic submucosal dissection/ esophageal leiomyoma/ endoscopic ultrasonography分类
医药卫生引用本文复制引用
许庆华,刘鹏飞,项斌,郁心圃..内镜黏膜下剥离术治疗食管平滑肌瘤的疗效分析[J].实用临床医药杂志,2011,15(24):70-71,74,3.
