中国内镜杂志2012，Vol.18Issue(7)：701-705,5.
经内镜胃黏膜下隆起性病变治疗方法探讨
Investigation of endoscopic therapy of gastric submucosal eminence lesions
摘要
Abstract
[Objective] To evaluate the clinical efficacy and complications of endoscopic treat of gastric submu-cosal eminence lesions (GSEL). [ Methods ] 62 cases were diagnosed as GSEL by endoscopy and endoscopic ultra-sonography (EUS). GSEL≤0.5cm were directly removed by high-frequency electrosurgery; 0.5 cm<GSEL≤2,0 cm were treated by endoscopic mueosal resection (EMR), endoscopic submueosal dissection (ESD) and ligation; GSEL> 2.0 cm were treated by EMR, ESD and ligation of nylon rope. Part of the free end organization, and surface tissue removed were sent to pathology after ligation, and compared with EUS. Each patient should be observed the efficacy and complications by endoscopy and EUS 2 weeks, 3 months, 6 months, 12 months and 24 months later. [Results] GSEL≤0.5 cm was removed completely without complications. 0.5 cm≤GSEL≤2.0 cm was completely off with 1 case perforated. There weren't recurrence in these patients above. However, we failed to remove GSEL >2.0 cm except 2 cases. There was no difference between endoscopic and surgical pathology and EUS. [Conclusions] Endoscopic therapy efficacy of GSEL has a lot of its diameter, and its efficacy of GSEL >2.0 cm is poor.关键词
胃黏膜下隆起型病变/内镜黏膜切除术/内镜黏膜下剥离术/治疗Key words
gastric submucosal eminence lesions/ endoscopic mueosal resection/ endoscopic submucosal dissection/ therapy分类
医药卫生引用本文复制引用
张彩凤,夏永华,李贞娟,韩宇,刘竹娥,王文菊,李琨,董良鹏..经内镜胃黏膜下隆起性病变治疗方法探讨[J].中国内镜杂志,2012,18(7):701-705,5.基金项目
河南省教育厅科研项目(No.20073200143) （No.20073200143）
