中国实用外科杂志2017，Vol.37Issue(8)：888-891,4.DOI:10.19538/j.cjps.issn1005-2208.2017.08.14
内镜十二指肠乳头肿瘤切除术临床评价(附36例报告)
Clinical efficacy of endoscopic resection of duodenal papilla tumor:A report of 36 cases
摘要
Abstract
Objective To evaluate therapeutic effect of endoscopy on duodenal papilla tumor, and the prevention and treatment methods of its complications. Methods The clinical data of 36 patients underwent the endoscopic duodenal papilla tumor resection in Zhongshan Hospital of Fudan University from January 2010 to May 2017 were studied retrospectively. Results A total of 36 patients underwent 38 procedures successfully. Among 29 cases without postoperative metallic clips closured, perforation occurred in 1 case (3.4%), delayed bleeding occurred in 5 cases (17.2%), postoperative pancreatitis occurred in 3 cases (10.3%), biliary ducts inflammation occurred in 2 cases (6.9%), and pancreaticobiliary strictures occurred in 1 case (3.4%). Among 9 cases of postoperative metallic clips closured, there was no delayed bleeding, perforation, and postoperative pancreatitis; biliary ducts inflammation occurred in 1 case (11.1%), and pancreaticobiliary strictures occurred in 1 case (11.1%). After following up 30.5(1.0~85.0)months, there were 2 recurrent patients, and both were treated by endoscopy. Conclusion Endoscopic treatment of duodenal papilla tumor may be effective. The incidence of complication is high, but postoperative clips closured may reduce the complications.关键词
内镜/十二指肠乳头肿瘤/并发症/迟发性出血/支架Key words
endoscope/duodenal papilla tumor/complication/delayed bleeding/stent分类
医药卫生引用本文复制引用
齐志鹏,孙迪,周平红,姚礼庆,徐美东,陆品湘,韩华中,张欣欣,钟芸诗..内镜十二指肠乳头肿瘤切除术临床评价(附36例报告)[J].中国实用外科杂志,2017,37(8):888-891,4.基金项目
上海消化内镜诊疗工程技术研究中心(No.16DZ2280900) （No.16DZ2280900）
上海市科技委员会项目(No.16411950401, No.16411950406) （No.16411950401, No.16411950406）
