内蒙古民族大学学报（自然科学版）
內矇古民族大學學報（自然科學版）
내몽고민족대학학보（자연과학판）
JOURNAL OF INNER MONGOLIA UNIVERSITY FOR NATIONALITIES(NATURAL SCIENCES)
2015年
1期
77-79
,共3页
李龙飞%马宏珍%张哲华%杨安全
李龍飛%馬宏珍%張哲華%楊安全
리룡비%마굉진%장철화%양안전
下消化道肿瘤%内镜下黏膜切除术%治疗%并发症
下消化道腫瘤%內鏡下黏膜切除術%治療%併髮癥
하소화도종류%내경하점막절제술%치료%병발증
Lower digestive tract tumor%Endoscopic mucosal resection%Treatment%Complication
目的：探讨内镜下黏膜切除术（Endoscopic Mucosal Resection，EMR）在治疗下消化道肿瘤中的临床价值及安全性.方法：94例患者共175个病灶，以注射法行黏膜切除治疗，记录操作方法并按照性别年龄分布情况、并发症、切除标本病理类型等进行分析.结果：94例患者中20-29岁组，30-39岁组，40-49岁组，50-59岁组，60-69岁组，70-79岁组，80-89岁组所占比例分别为1.06%，4.26%，19.15%，40.43%，22.34%，10.64%，2.12%.175个病灶均完整切除，治愈率100%.并发症：术中渗血5例（5.32%），以氩离子凝固术（Argon Plasma Coagulation）成功止血.无一例发生延迟出血、穿孔、狭窄及败血症等严重并发症.术后病理诊断：炎性息肉3个，增生性息肉67个，腺瘤性息肉104个，类癌1个.结论：内镜下黏膜切除术在下消化道肿瘤治疗中，是一种安全、有效、微创的内镜治疗手段.
目的：探討內鏡下黏膜切除術（Endoscopic Mucosal Resection，EMR）在治療下消化道腫瘤中的臨床價值及安全性.方法：94例患者共175箇病竈，以註射法行黏膜切除治療，記錄操作方法併按照性彆年齡分佈情況、併髮癥、切除標本病理類型等進行分析.結果：94例患者中20-29歲組，30-39歲組，40-49歲組，50-59歲組，60-69歲組，70-79歲組，80-89歲組所佔比例分彆為1.06%，4.26%，19.15%，40.43%，22.34%，10.64%，2.12%.175箇病竈均完整切除，治愈率100%.併髮癥：術中滲血5例（5.32%），以氬離子凝固術（Argon Plasma Coagulation）成功止血.無一例髮生延遲齣血、穿孔、狹窄及敗血癥等嚴重併髮癥.術後病理診斷：炎性息肉3箇，增生性息肉67箇，腺瘤性息肉104箇，類癌1箇.結論：內鏡下黏膜切除術在下消化道腫瘤治療中，是一種安全、有效、微創的內鏡治療手段.
목적：탐토내경하점막절제술（Endoscopic Mucosal Resection，EMR）재치료하소화도종류중적림상개치급안전성.방법：94례환자공175개병조，이주사법행점막절제치료，기록조작방법병안조성별년령분포정황、병발증、절제표본병리류형등진행분석.결과：94례환자중20-29세조，30-39세조，40-49세조，50-59세조，60-69세조，70-79세조，80-89세조소점비례분별위1.06%，4.26%，19.15%，40.43%，22.34%，10.64%，2.12%.175개병조균완정절제，치유솔100%.병발증：술중삼혈5례（5.32%），이아리자응고술（Argon Plasma Coagulation）성공지혈.무일례발생연지출혈、천공、협착급패혈증등엄중병발증.술후병리진단：염성식육3개，증생성식육67개，선류성식육104개，유암1개.결론：내경하점막절제술재하소화도종류치료중，시일충안전、유효、미창적내경치료수단.
Objective: To investigate the clinical value and safety of endoscopic mucosal resection(EMR)in the treatment of lower digestive tract tumor. Methods:A total of 175 lesions from 94 patients were treated with injections mucosal resection, the operation methods, distribution of age and gender, complications and pathological types of re-section specimen were analyzed. Results:In this study, the 94 patients were divided into 7 groups that were 20-29, 30-39, 40-49, 50-59, 60-69, 70-79 and 80-89 years old group, and each group accounted for 1.06%, 4.26%, 19.15%, 40.43%, 22.34%, 10.64%, and 2.13%respectively. The 175 lesions were treated by complete resection, and the cure rate was 100%. Complications:intraoperative bleeding occurred in 5 cases(5.32%), and was successfully stanched by argon plasma coagulation. There was no severe complications such as delayed bleeding, perforation, ste-nosis and septicaemia. Postoperative pathological diagnosis:3 lesions were inflammatory polyps, 67 lesions were hy-perplastic polyps, 104 were adenomatous polyps and 1 was carcinoid. Conclusion:Endoscopic mucosal resection is a safe, effective and minimally invasive endoscopic treatment for the lower digestive tract tumor.
