中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
28期
10-12
,共3页
超声内镜%胃间质瘤%黏膜下挖除
超聲內鏡%胃間質瘤%黏膜下挖除
초성내경%위간질류%점막하알제
Endoscopic ultrasonography%Gastric stromal tumor%Submucosal excavation
目的 观察超声内镜指导下黏膜下挖除术治疗胃固有肌层间质瘤的疗效及安全性.方法 经超声内镜初步诊断为来源于胃固有肌层的间质瘤19例,超声内镜明确病变来源、回声、大小、血供等情况后行黏膜下挖除治疗,观察其疗效及并发症.结果 18例病变完整挖除,1例挖除失败.术中出现穿孔2例,经钛夹封闭创面治愈.术中有少量出血,经热活检钳钳夹或氩气凝固止血,出血停止.无迟发性出血.结论 黏膜下挖除术治疗胃固有肌层间质瘤安全有效,术前行超声内镜检查进行严格评估具有重要价值.
目的 觀察超聲內鏡指導下黏膜下挖除術治療胃固有肌層間質瘤的療效及安全性.方法 經超聲內鏡初步診斷為來源于胃固有肌層的間質瘤19例,超聲內鏡明確病變來源、迴聲、大小、血供等情況後行黏膜下挖除治療,觀察其療效及併髮癥.結果 18例病變完整挖除,1例挖除失敗.術中齣現穿孔2例,經鈦夾封閉創麵治愈.術中有少量齣血,經熱活檢鉗鉗夾或氬氣凝固止血,齣血停止.無遲髮性齣血.結論 黏膜下挖除術治療胃固有肌層間質瘤安全有效,術前行超聲內鏡檢查進行嚴格評估具有重要價值.
목적 관찰초성내경지도하점막하알제술치료위고유기층간질류적료효급안전성.방법 경초성내경초보진단위래원우위고유기층적간질류19례,초성내경명학병변래원、회성、대소、혈공등정황후행점막하알제치료,관찰기료효급병발증.결과 18례병변완정알제,1례알제실패.술중출현천공2례,경태협봉폐창면치유.술중유소량출혈,경열활검겸겸협혹아기응고지혈,출혈정지.무지발성출혈.결론 점막하알제술치료위고유기층간질류안전유효,술전행초성내경검사진행엄격평고구유중요개치.
Objective To observe the efficacy and safety of endoscopic ultrasonography submucosal resection for treatment of gastric muscularis propria mesenchymal tumor.Methods Endoscopic ultrasonography preliminary diagnosis of 19 cases were diagnosed stromal tumors originating from gastric muscularis propria layer,the endoscopic ultrasonography diagnosis the source,echo,size,blood supply,etc.than treated by endoscopic submucosal excavation.To observe the therapeutic effect and complications.Results Eighteen patients were the full excavation,1 patient was failed.Intraoperative perforation was seen in 2 cases,the wound was healed by the titanium clamp.A small amount of bleeding happened in operation and bleeding was stopped by hot biopsy forceps or argon coagulation.No delayed bleeding happened.Conclusion Submucosal resection for gastric muscularis propria mesenchymal tumors is safe and effective,endoscopic ultrasonography has important value in the strict assessment.
