CAJ | 학술논문

目的探讨大肠类癌的内镜及超声内镜特点,提高内镜诊疗水平.方法收集2002-2007年收治的22例大肠类癌患者的临床资料.分析内镜及超声内镜特点及其与浸润深度的关系.结果早期癌内镜表现为直径1.5cm、黏膜光滑、黏膜内黄白色颗粒样结构;进展期癌内镜表现为直径0.8～3.0cm、黏膜不平、黄白色结节样或表面溃疡.超声内镜特征为:稍低回声,内部散在点状稍高回声,起源于黏膜固有层或黏膜下层不规则卵圆形结构,边缘模糊且不规则.16例黏膜内癌及黏膜下浅层癌行内镜黏膜切除术,其中10例追加氩气刀治疗.随访4～36个月无复发.1例黏膜下深层类癌及5例进展期类癌行外科手术.结论内镜及超声内镜可诊断大肠类癌及其浸润深度,对早期类癌行内镜治疗可取得较好效果.
목적 탐토대장유암적내경급초성내경특점,제고내경진료수평.방법 수집2002-2007년수치적22례대장유암환자적림상자료.분석내경급초성내경특점급기여침윤심도적관계.결과 조기암내경표현위직경1.5cm、점막광활、점막내황백색과립양결구;진전기암내경표현위직경0.8～3.0cm、점막불평、황백색결절양혹표면궤양.초성내경특정위:초저회성,내부산재점상초고회성,기원우점막고유층혹점막하층불규칙란원형결구,변연모호차불규칙.16례점막내암급점막하천층암행내경점막절제술,기중10례추가아기도치료.수방4～36개월무복발.1례점막하심층유암급5례진전기유암행외과수술.결론 내경급초성내경가진단대장유암급기침윤심도,대조기유암행내경치료가취득교호효과.
Objective To investigate the endoscopic and ultrasonic endoscopic features of colorectal carcinoid and the indications of endoscopic treatment. Methods The clinical data of 22 patients with colorectal carcinoid who had been admitted to our hospital from 2002 to 2007 were collected. The endoscopic and ultrasonic endoscopic features and the relationship between the features and invasion depth of colorectal carcinoid were analyzed. Results Under the endoscope, early carcinoid presented submucosa tumor with 1.5cm in diameter, and yellow or white smooth surface; advanced carcinoid presented submucosa tumor with 0.8-3.0cm in diameter, and yellow or white little nodus or ulcerative surface. The ultrasonic endoscopic feature of the colorectal carcinoid was orbicular-ovate low level echo tumor with punctiform slightly high-level echo and an unsharpness edge. Sixteen mucosal layer-cancers and submucosal layer-cancers were removed by endoscopic mucosal resection, and 10 of them were additional treated by argon plasma coagulation. After a follow-up period of 4-36 months, no recurrence was observed. Conclusions Endoscopy and endoscopic ultrasonography are effective methods to diagnose colorectal carcinoid and its invasion depth. Endoscopic treatment is a simple, safe and effective means to treat the early colorectal carcinoid tumors.