CAJ | 학술논문

目的：探讨内镜下治疗消化道黏膜下肿物（SMT）的指征、方法、疗效及安全性。方法：对内镜检查中发现的94例消化道SMT行内镜微创治疗，22例行黏膜切除术（EMR），61例行黏膜剥离术（ESD），7例行多环黏膜切除术（MBM），4例行尼龙绳套扎治疗。结果：完全切除86例，残存切除1例，术中穿孔1例，转外科手术；4例SMT尼龙绳套扎治疗，1个月后复查时肿物已清除。所有病例随访1年，均无复发。结论：消化道SMT可应用EMR、ESD、MBM完整切除，对于较难处理部位的SMT可试行尼龙绳套扎术治疗，内镜下治疗SMT创伤小、安全、疗效好。
목적：탐토내경하치료소화도점막하종물（SMT）적지정、방법、료효급안전성。방법：대내경검사중발현적94례소화도SMT행내경미창치료，22례행점막절제술（EMR），61례행점막박리술（ESD），7례행다배점막절제술（MBM），4례행니룡승투찰치료。결과：완전절제86례，잔존절제1례，술중천공1례，전외과수술；4례SMT니룡승투찰치료，1개월후복사시종물이청제。소유병례수방1년，균무복발。결론：소화도SMT가응용EMR、ESD、MBM완정절제，대우교난처리부위적SMT가시행니룡승투찰술치료，내경하치료SMT창상소、안전、료효호。
Objective To discuss the indication, technique, effect, and safety of endoscopic treatment of SMT in gastrointestinal tract. Methods Endoscopic therapy was performed in 94 patients with gastrointestinal diagnosed by endoscopy. 22 cases underwent EMR; 61 cases were treated with ESD; MBM was exercised on 7 cases; and nylon endoloop ligature were carried out on 4 cases. Results Complete resection was achieved on 86 cases, and 1 case was excised partially. 1 patient with SMT was transferred to open surgery. Lumps of 4 SMT cases treated by nylon endoloop ligature were found disappeared at subsequent visit after a month. All patients were followed up for one year, and no recurrence was found. Conclusions Gastrointestinal SMT can be completely resected by EMR, ESD and MBM. Nylon endoloop ligature can be used for the treatment of SMT in position difficult to deal with. Endoscopic therapy is relatively safe, effective, and minimal invasion for SMT.