局解手术学杂志2024，Vol.33Issue(1)：59-62,4.DOI:10.11659/jjssx.12E022086
小探头超声内镜在小直径低级别直肠神经内分泌肿瘤内镜手术中的应用
Application of miniprobe endoscopic ultrasound in endoscopic surgery of small-diameter and low-grade rectum neuroendocrine neoplasm
摘要
Abstract
Objective To evaluate the value of miniprobe endoscopic ultrasound(EUS)in guiding endoscopic treatment of small-diameter(maximum diameter less than 1 cm)and low-grade(G1 grade)rectum neuroendocrine neoplasm(R-NEN),and to provide evidence and clues for its clinical application and further research.Methods The clinical data of 85 cases of low-grade(G1 grade)R-NEN with a maximum diameter of less than 1 cm who underwent endoscopic treatment in our center from January 2014 to December 2020 were retrospectively analyzed.The patients were divided into the EUS group(37 cases)and control group(48 cases)according to whether EUS was performed before endoscopic treatment.The positive rate of incision margin,the incidence of complications,the recurrence rate,the hospital stay,the cost of hospitalization and endoscopic therapy were compared between the two groups.Results The positive rate of incision margin in the EUS group was significantly lower than that in control group(P<0.05).There was no significant difference in the incidence of complications,tumor recurrence rate,hospital stay or hospital costs between the two groups(P>0.05).There was statistically significant difference in the endoscopic therapy between the two groups(P<0.05).Conclusion Evaluating the lesion depth of small-diameter and low-grade(G1 grade)R-NEN before surgery by miniprobe EUS and selecting endoscopic surgery according to its results of can significantly reduce the residual risk of resection margin tumors.关键词
小探头/超声内镜/直肠/神经内分泌肿瘤/精准治疗Key words
miniprobe/endoscopic ultrasound/rectum/neuroendocrine neoplasm/precision therapy分类
医药卫生引用本文复制引用
李建军,樊超强,杨歆,彭学,林昊,聂旭彪,杨仕明,谯秋建,柏健鹰..小探头超声内镜在小直径低级别直肠神经内分泌肿瘤内镜手术中的应用[J].局解手术学杂志,2024,33(1):59-62,4.基金项目
重庆市卫生适宜技术推广项目(2017jstg30) （2017jstg30）
