武警医学2025，Vol.36Issue(9)：770-773,777,5.
结直肠黏膜下肿瘤50例的内镜特征及治疗策略
Endoscopic features and treatment strategies of 50 cases with colorectal submucosal tumors
李伟 1曾一文 1胡可胜 1杨莉1
作者信息
- 1. 510507 广州,武警广东总队医院消化内科
- 折叠
摘要
Abstract
Objective To analyze the endoscopic features of colorectal submucosal tumors(SMTs)and to explore the treat-ment strategies.Methods A total of 50 patients with SMTs who underwent endoscopic resection and were diagnosed by pathology and immunohistochemistry at Guangdong Provincial Corps Hospital of Chinese People's Armed Police Forces from January 2018 to Decem-ber 2022 were selected.All the patients were followed up and reexamined by colonoscopy three,six and twelve months after operation.Clinical symptoms,distribution of submucosal lesions in the colorectum,and endoscopic features of the patients were analyzed one by one,and the pathological results were summarized.Results Among the 50 cases,there were 22 cases of lipoma,8 cases of neuroendo-crine tumors,and 20 cases of stromal tumors.Lipomas and stromal tumors were more commonly distributed in the colon,while neuro-endocrine tumors were more common in the rectum and had the highest incidence of diarrhea.Forty cases of colorectal tumors were re-sected by endoscopic submucosal dissection(ESD),and 10 cases were resected by endoscopic mucosal resection(EMR).None of the patients had infection,delayed bleeding,or intestinal perforation after the operation.During the postoperative follow-up period of 6 to 20 months,there was no recurrence or metastasis in the patients.Conclusions SMTs present different features under endoscopic ultra-sonography(EUS).EUS has an important guiding role on the differential diagnosis of SMTs and provides a safe and efficient strategy for endoscopic minimally invasive surgery.关键词
结直肠/黏膜下肿瘤/组织病理学/内镜特征/治疗策略Key words
colorectum/submucosal tumor/histopathology/endoscopic feature/treatment strategy分类
医药卫生引用本文复制引用
李伟,曾一文,胡可胜,杨莉..结直肠黏膜下肿瘤50例的内镜特征及治疗策略[J].武警医学,2025,36(9):770-773,777,5.
