本文選題：胃粘膜下腫瘤 + 內(nèi)鏡黏膜下剝離術(shù)　； 參考：《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》2017年08期

【摘要】：目的:近年微創(chuàng)內(nèi)鏡技術(shù)作為治療起源于固有肌層的黏膜下腫瘤的新型方式迅速發(fā)展。本研究旨在通過觀察超聲內(nèi)鏡下起源于固有肌層的腫瘤包膜完整性及所處位置(位于淺肌層或深肌層)、與漿膜層的位置關(guān)系和腫瘤與固有肌層緊密接觸長度占腫瘤包膜長度的比例來評(píng)估完整切除率、穿孔及出血等并發(fā)癥發(fā)生率、預(yù)后情況,進(jìn)一步指導(dǎo)內(nèi)鏡下治療方式的選擇。創(chuàng)新點(diǎn):首次提出通過超聲內(nèi)鏡術(shù)前評(píng)估腫瘤包膜的完整性、在固有肌層中所處的位置及與固有肌層連接的長度選擇內(nèi)鏡下治療方式,可以提高完整切除率及降低術(shù)中并發(fā)癥的發(fā)生。方法:收集浙江省人民醫(yī)院及浙江省立同德醫(yī)院2014年02月至2016年6月接受內(nèi)鏡治療的胃固有肌層腫瘤患者資料,總結(jié)并分析其臨床特點(diǎn)、內(nèi)鏡及超聲內(nèi)鏡表現(xiàn)、臨床結(jié)果及術(shù)后隨訪資料。結(jié)論:腫瘤包膜的完整性與完全切除率密切相關(guān)。起源于深肌層以及與固有肌層為寬連接的黏膜下腫瘤在內(nèi)鏡黏膜下剝離術(shù)(ESD)中穿孔可能性較大。通過超聲內(nèi)鏡術(shù)前評(píng)估起源于固有肌層的胃黏膜下腫瘤包膜的完整性、所處的位置以及與固有肌層連接的長度,有助于提高完整切除率和減少術(shù)中并發(fā)癥的發(fā)生。
[Abstract]:Objective: in recent years, minimally invasive endoscopic technique has been developed rapidly in the treatment of submucosal neoplasms originated from the muscular lamina propria. The purpose of this study was to observe the integrity and location of the tumor capsule (located in the superficial or deep muscle layer) under endoscope, and the relationship between the tumor and the serous layer and the length of close contact between the tumor and the muscular layer propria propria. The ratio of the length of the tumor capsule to evaluate the complete resection rate, Complications such as perforation and hemorrhage, prognosis, and further guidance of endoscopic treatment options. Innovative points: it is the first time to evaluate the integrity of tumor capsule by endoscopic endoscopy, to choose the treatment mode of endoscopy for the position of the lamina propria and the length of the connection between the lamina propria and the lamina propria. It can improve the rate of complete resection and reduce the incidence of intraoperative complications. Methods: the data of patients with endoscopically treated gastric intramuscular neoplasms in Zhejiang Provincial people's Hospital and Tongde Hospital of Zhejiang Province from February 2014 to June 2016 were collected, and their clinical features, endoscopic and endoscopic findings were analyzed. Clinical results and postoperative follow-up data. Conclusion: the integrity of tumor capsule is closely related to the rate of complete resection. Submucosal tumors originated from the deep muscular layer and broadly connected with the lamina propria are more likely to perforate in endoscopic submucosal dissection (ESD). The evaluation of the integrity of the capsule of gastric submucosal tumor originated from the lamina propria and the length of the junction with the lamina propria by endoscopic endoscopy is helpful to improve the rate of complete resection and reduce the incidence of intraoperative complications.
【作者單位】： Department
【分類號(hào)】：R735.2

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 景元明;楊飛英;葉民峰;陶鋒;;內(nèi)鏡黏膜下剝離術(shù)治療食道固有肌層腫瘤12例臨床分析[J];中國現(xiàn)代醫(yī)生;2012年26期

2 何俊堂;李政文;堯登華;呂黃勇;侯文鋒;;內(nèi)鏡黏膜下剝離術(shù)治療胃底固有肌層腫瘤18例臨床分析[J];西南軍醫(yī);2011年02期

3 ;我國專家在國際上首創(chuàng)內(nèi)鏡固有肌層剝離術(shù)[J];微創(chuàng)醫(yī)學(xué);2011年03期

4 阮榮蔚;陶亞利;王實(shí);;上消化道固有肌層腫瘤的內(nèi)鏡治療進(jìn)展[J];腫瘤學(xué)雜志;2013年09期

5 孫圣斌;黃曼玲;劉愛斯;王愛萍;張Y，

本文編號(hào)：1801166