浙江医学Issue(11)：1041-1044,4.
超声内镜辅助下ESD治疗上消化道隆起性病变的疗效及安全性探讨
叶淑芳 1朱晚林 1叶秀津 1兰延美 1刘央央1
作者信息
摘要
Abstract
Objective To assess the efficacy and safety of endoscopic ultrasonography (EUS)-assisted endoscopic submucosal dissection (ESD) for upper gastrointestinal protrusive lesions. Methods Twenty upper gastrointestinal protrusive le-sions were detected by EUS, then resected by ESD. EUS image findings were compared with post-ESD pathological results. The mean operation time, rate of en bloc resection, incidence of complication and local recurrence were documented. Results A-mong twenty lesions, 6 were located in the esophagus, 14 in the stomach. Four cases of early cancer, 4 cases of high grade in-traepithelial neoplasia, 1 case of heterotopic pancreas, 4 cases of leiomyomas and 7 cases of stromal tumor were diagnosed re-spectively. The pathological diagnosis of 20 lesions after ESD was al consistent with that by EUS before ESD. The operation time was 16~100min (mean 32.8±15.7min);the rate of en bloc resection was 85%, bleeding rate was 20.0%, perforation rate was 10.0% and no local recurrence was found. Conclusion EUS is highly accurate in diagnosis of protuberant lesions in gastroin-testinal tract. EUS-assisted ESD is a safe and effective therapeutic method for upper gastrointestinal protrusive lesions.关键词
超声内镜/内镜黏膜下剥离术/上消化道隆起性病变Key words
Endoscopic ultrasonography/Endoscopic submucosal dissection/Upper gastrointestinal tract protrusive lesions引用本文复制引用
叶淑芳,朱晚林,叶秀津,兰延美,刘央央..超声内镜辅助下ESD治疗上消化道隆起性病变的疗效及安全性探讨[J].浙江医学,2013,(11):1041-1044,4.
