CAJ | 학술논문

目的：评价透明帽辅助吸引切除胃黏膜下肿物安全性及疗效。方法回顾性分析68例胃内黏膜下肿物患者的临床资料,统计病灶一次性完整切除率,观察术中穿孔及出血情况。结果64例患者中,病变部位位于贲门4例(占6.3%)；胃底22例(占34.4%),胃体9例(占14.1%),胃角4例(占6.3%),胃窦部25例(占39.1%)。术中穿孔9例(占14.1%),术中出血2例(占3.1%),病灶一次性完整切除率90.6%(58例),组织学完全切除率93.8%(60例)；手术时间18~46 min,平均时间(26.3±13.0)min。结论透明帽辅助吸引切除胃黏膜下肿物有较好的疗效和安全性。
목적：평개투명모보조흡인절제위점막하종물안전성급료효。방법회고성분석68례위내점막하종물환자적림상자료,통계병조일차성완정절제솔,관찰술중천공급출혈정황。결과64례환자중,병변부위위우분문4례(점6.3%)；위저22례(점34.4%),위체9례(점14.1%),위각4례(점6.3%),위두부25례(점39.1%)。술중천공9례(점14.1%),술중출혈2례(점3.1%),병조일차성완정절제솔90.6%(58례),조직학완전절제솔93.8%(60례)；수술시간18~46 min,평균시간(26.3±13.0)min。결론투명모보조흡인절제위점막하종물유교호적료효화안전성。
Objective To evaluate the safety and curative effect of transparent cap auxiliary attraction resection of gastric submucosal tumor. Methods The clinical data of a total of 84 cases of gastric submucosal tumor were retrospectively analyzed. Disposable integrity excision rate of nidus was assessed, and intraoperative perforation and hemorrhage were observed. Results Among the 64 cases, there were 4 cases with the submucosal tumor in the cardia (6.3%), 22 cases in the gastric fundus (34.4%), 9 cases in the gastric body (14.1%), 4 cases in the gastric angle (6.3%), and 25 cases in the gastric antrum (39.1%). There were 9 cases of intraoperative perforation (14.1%) and 2 cases of intraoperative hemorrhage (3.1%). Disposable integrity excision rate of nidus 90.6%(58 cases), and histological complete resection rate was 93.8%(60 cases). Operation time ranged from 18 to 46 min, with the average time of (26.3±13.0) min. Conclusion Transparent cap auxiliary attraction resection of gastric submucosal tumor has good curative effect and safety.