CAJ | 학술논문

目的：探讨在内镜超声指导下的食管黏膜下肿瘤切除术的应用。方法2010年1月至2013年5月79例疑为上消化道黏膜下肿瘤患者进行内镜超声检查,并行内镜下黏膜下肿块切除和病理学检查,对比内镜超声检查与病理学检查结果,分析治疗效果及并发症情况。结果内镜超声检查准确提示了肿瘤所在层次,通过内镜下黏膜下肿瘤切除术切除了所有病变,术后5例发生少量出血,6例因切除黏膜较多造成食管狭窄,经处理后预后可。结论内镜超声检查能够准确判断黏膜下肿瘤,可用于指导黏膜下肿瘤切除术。
목적：탐토재내경초성지도하적식관점막하종류절제술적응용。방법2010년1월지2013년5월79례의위상소화도점막하종류환자진행내경초성검사,병행내경하점막하종괴절제화병이학검사,대비내경초성검사여병이학검사결과,분석치료효과급병발증정황。결과내경초성검사준학제시료종류소재층차,통과내경하점막하종류절제술절제료소유병변,술후5례발생소량출혈,6례인절제점막교다조성식관협착,경처리후예후가。결론내경초성검사능구준학판단점막하종류,가용우지도점막하종류절제술。
Objective To investigate the effects of submucosal resection by guidance under esophageal endoscopic ultrasound. Methods 79 cases ofsuspected upper gastrointestinal submucosal tumors were found by endoscopic ultrasonography,transesophageal endoscopic ultra-sound showed lesions under muscularis mucosa,after informed consent,they were underwent endoscopic mucosal resection. Pathological diag-nose of the lesions were found out after resection. Results Compared with pathological results showed that endoscopic ultrasound accurately determine tumor location in the hierarchy;through endoscopic mucosal resection to remove all lesions,5 patients were found bleeding postop-erative,6 patients were found esophageal stricture,the prognosis was good after treatment. Conclusion Endoscopic ultrasonography can accu-rately determine submucosal myoma,it can be used to guide resection of submucosal myoma.