CAJ | 학술논문

目的：研究内镜下套扎起源于固有肌层胃间质瘤的优越性、安全性和有效性。方法选取烟台毓璜顶医院2012年1月至2013年l 月，经内镜和超声内镜检查，证实为起源于固有肌层的胃间质瘤，内镜下目测大小≤1.2 cm，同意接受内镜下套扎治疗的患者38例，采用橡皮圈单环套扎治疗。术后l～2周复查胃镜，对尚未完全坏死脱落的病变再次勒扎，至残留病变呈紫红色。结果经内镜和超声内镜复查，治疗l～2周后病变均坏死脱落，局部溃疡形成，继续抑制胃酸治疗3～6个月后，复查内镜和超声内镜，上述溃疡愈合，局部疤痕形成，胃壁结构基本恢复正常。随访持续1～24个月，1例出现黑便，1例出现轻微气腹及局限性腹膜炎，经治疗后均恢复正常，38例患者无一例复发。而且相对于外科手术，该方法更为经济。结论对于大小≤1.2 cm，起源于固有肌层的胃间质瘤，可采用内镜下套扎治疗，且可能为一种安全、有效、经济的微创治疗手段。
목적：연구내경하투찰기원우고유기층위간질류적우월성、안전성화유효성。방법선취연태육황정의원2012년1월지2013년l 월，경내경화초성내경검사，증실위기원우고유기층적위간질류，내경하목측대소≤1.2 cm，동의접수내경하투찰치료적환자38례，채용상피권단배투찰치료。술후l～2주복사위경，대상미완전배사탈락적병변재차륵찰，지잔류병변정자홍색。결과경내경화초성내경복사，치료l～2주후병변균배사탈락，국부궤양형성，계속억제위산치료3～6개월후，복사내경화초성내경，상술궤양유합，국부파흔형성，위벽결구기본회복정상。수방지속1～24개월，1례출현흑편，1례출현경미기복급국한성복막염，경치료후균회복정상，38례환자무일례복발。이차상대우외과수술，해방법경위경제。결론대우대소≤1.2 cm，기원우고유기층적위간질류，가채용내경하투찰치료，차가능위일충안전、유효、경제적미창치료수단。
ObjectiveThe study about the muscularis propria, safety and efficacy of using the rubber band ligation to treat gastric stromal tumor which originated from the muscularis propria.Methods Select our hospital between January 2012 and 2013 months, l by endoscope and endoscopic ultrasonography examination, proved to have originated in gastric stromal tumor to the muscularis propria, endoscopic visual size no more than 1.2 cm, and sign the informed consent, agree to accept Endoscopic Variceal Ligation treatment of 38 patients, using rubber band monocyclic treatment.That is, Using plastic le device,to the base of the lesion, gradually tightening RPH tied to local mucosal lesion is purple, l review gastroscope, a week or two after le again for not fully necrosis falls off lesions, and residual lesions in purple.ResultsChecked bying the endoscope and endoscopic ultrasonography,38 cases of lesions, Treat l fall off after a week or 2 lesions were necrosis, local ulceration, continue to inhibit gastric acid treatment 3-6 months after a review of the endoscope and endoscopic ultrasonography, the ulcer healing, local scar formation, the stomach after endoscopic treatment often effective structure, 38 patients were followed up for 1 a 24 months, One appeared in black,one appeared mild pneumoperitoneum limitations and peritonitis, they were all back to normal after treatment, 38 patients with no recurrence.And that Relative to surgery ,It has more economic benefits. ConclusionFor no more than 1.2 cm size, originated in the gastric stromal tumor to the muscularis propria, using endoscopic therapy may be a safe 、effective、economic、minimally invasive treatment.