中国全科医学Issue(15)：1820-1823,4.DOI:10.3969/j.issn.1007-9572.2015.15.018
联合超声内镜行内镜下切除治疗消化道类癌的临床分析
Cljnjcal Analysjs of Endoscopjc Ultrasonography Combjned Wjth Endoscopy for Gastrojntestjnal Carcjnojd
摘要
Abstract
Objectjve To investigate the safety and reliability of endoscopic ultrasonography( EUS),endoscopic mucosa resection(EMR)and endoscopic submucosal dissection(ESD)for patients with gastrointestinal carcinoid. Methods A total of 18 patients confirmed with gastrointestinal carcinoid in Gastrointestinal Endoscopy Room of Yichang Central People′s Hospital from March 2004 to August 2011 were selected,and patients who showed hemispherical hump on the mucosa surface of the digestive tract were analyzed retrospectively. EUS was performed when the gastrointestinal carcinoid was suspected after endoscopy. EMR was performed when the diameter of the lesions were less than 1 cm,and ESD was performed when the diameter of the lesions were from 1 cm to 2 cm. Results Eighteen cases were suspected of carcinoid without muscular layer involvement, and 17 patients were diagnosed accurately in terms of the depth of lesion. The lesions were located in rectum(11 cases), stomach(3 cases),esophagus(2 cases)and duodenal bulb(2 cases). All the 18 cases were given endoscopic therapy successfully,with 17 cases having complete resection. One case was converted to surgery due to adhesion of lesion and muscularis. No recurrent carcinoid or metastasis occurred during the follow - up. Conclusjon The EUS examination and endoscopic resection is feasible and reliable for patients with gastrointestinal carcinoid less than 2 cm in diameter without muscular layer involvement.关键词
类癌瘤/超声内镜/内镜下黏膜切除术/内镜黏膜下剥离术Key words
Carcinoid tumor/Endoscopic ultrasonography/Endoscopic mucosa resection/Endoscopic submucosal dissection分类
医药卫生引用本文复制引用
李中艳,刘磊,杨院平,仝巧云,迟宝荣..联合超声内镜行内镜下切除治疗消化道类癌的临床分析[J].中国全科医学,2015,(15):1820-1823,4.基金项目
国家新药创新科技重大专项（2014ZX09304314-002）；宜昌市社会发展科技项目 （）
