超声内镜对于应用ESD治疗上消化道隆起性病变的疗效及安全性的相关研究
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摘要
目的探究上消化道隆起性病变患者在内镜黏膜下剥离术(Endoscopic submucosal dissection,ESD)治疗中应用超声内镜的价值。上消化道隆起性病变患者在内镜黏膜下剥离术治疗中应用超声内镜干预,可更加准确对患者的疾病诊断,提高手术治疗的安全性。方法以上消化道隆起性病变患者50例为研究对象,所选时间为2016年1月-2017年6月,其均首先接受超声内镜检查,之后为其实施内镜黏膜下剥离术治疗,对其治疗的结果进行分析。结果上消化道隆起性病变患者的病灶完整切除率为86.00%,10.00%的患者通过圈套器切除,其组织治愈率为96.00%。手术时间为(32.85±15.77)分钟,住院时间为(6.69±1.22)天,20.00%患者在手术中发生创面渗血,10.00%的患者出现术中穿孔,随访患者1年,未有患者出现复发或残留的情况。结论上消化道隆起性病变患者的病灶完整切除率为86.00%,10.00%的患者通过圈套器切除,其组织治愈率为96.00%。手术时间为(32.85±15.77)分钟,住院时间为(6.69±1.22)天,20.00%患者在手术中发生创面渗血,10.00%的患者出现术中穿孔,随访患者1年,未有患者出现复发或残留的情况。
Objective To explore the value of Endoscopic Endoscopic submucosal dissection(ESD) in the treatment of patients with upper gastrointestinal eminence.Methods 50 cases of patients with the above gastrointestinal uplift lesions were selected as the study subjects from January 2016 to June 2017.All of them received endoscopic ultrasonography first,and then were treated with endoscopic submucosal dissection,and the treatment results were analyzed.Results The complete resection rate of lesions in patients with protuberant lesions of upper gastrointestinal tract was 86.00%,and 10.00% of patients were resected by trap.The tissue cure rate was 96.00%.The operation time was(32.85±15.77) minutes,the hospitalization time was(6.69 ±1.22) days,20.00% of the patients had bleeding on the wound during the operation,10.00% of the patients had perforation during the operation,and the patients were followed up for 1 year without recurrence or residue.Conclusion The application of ultrasound endoscopic intervention in the endoscopic submucosal dissection of patients with upper gastrointestinal eminence lesions can more accurately diagnose the disease and improve the safety of surgical treatment.
Objective To explore the value of Endoscopic Endoscopic submucosal dissection(ESD) in the treatment of patients with upper gastrointestinal eminence.Methods 50 cases of patients with the above gastrointestinal uplift lesions were selected as the study subjects from January 2016 to June 2017.All of them received endoscopic ultrasonography first,and then were treated with endoscopic submucosal dissection,and the treatment results were analyzed.Results The complete resection rate of lesions in patients with protuberant lesions of upper gastrointestinal tract was 86.00%,and 10.00% of patients were resected by trap.The tissue cure rate was 96.00%.The operation time was(32.85±15.77) minutes,the hospitalization time was(6.69 ±1.22) days,20.00% of the patients had bleeding on the wound during the operation,10.00% of the patients had perforation during the operation,and the patients were followed up for 1 year without recurrence or residue.Conclusion The application of ultrasound endoscopic intervention in the endoscopic submucosal dissection of patients with upper gastrointestinal eminence lesions can more accurately diagnose the disease and improve the safety of surgical treatment.
引文
[1] 叶淑芳,朱晚林,叶秀津,等.超声内镜辅助下ESD治疗上消化道隆起性病变的疗效及安全性探讨[J].浙江医学,2013,35(11):1041-1044.
[2] 张卫国,李胜保,郜元军,等.上消化道表面光滑型隆起性病变的超声内镜诊断与内镜黏膜切除术、内镜黏膜下剥离术术后病理学比较[J].临床内科杂志,2013,30(8):523-525.
[3] 罗小玲,周传文,潘峰,等.微探头超声内镜联合内镜黏膜下剥离术诊治上消化道黏膜下隆起性病变的研究[J].现代中西医结合杂志,2015,24(24):2698-2700.
[4] 唐光华,蒋丹斌,单际平,等.微探头超声指导内镜黏膜下剥离术治疗上消化道黏膜下隆起性病变的价值[J].胃肠病学,2013,18(12):720-723.
[5] 姚俊,许亚平,周春锁,等.小探头超声内镜对上消化道隆起病变的诊断价值[J].医学影像学杂志,2016,26(3):555-557.
[6] 张志宏,刘晓岗,李良平,等.超声内镜是否足以精准诊断上消化道黏膜下肿物?[J].胃肠病学和肝病学杂志,2017,26(11):1273-1277.
[7] 梁新文,徐星莉,阿珊,等.超声内镜对80例上消化道隆起性病变诊断价值及应用研究[J].新疆医学,2018,48(1):23-26.
[8] 江萌,刘苇婧,李虹,等.赣南地区内镜下粘膜剥离术(ESD)治疗上消化道隆起性病变的护理研究[J].赣南医学院学报,2017,37(6):956-957.
[9] 邵红征,王桂玲,胡志勇,等.超声内镜对上消化道隆起病变诊断价值的临床研究[J].现代消化及介入诊疗,2015,20(1):61-63.
[10] 李焕喜,秦鸣放,王震宇,等.内镜黏膜剥离术治疗上消化道广基息肉、黏膜下肿瘤的临床疗效[J].中国中西医结合外科杂志,2013,20(5):496-498.
[11] 江向武.内镜超声检查术引导下介入诊治老年上消化道及消化壁外占位病变的临床价值[J].中国老年学杂志,2015,35(3):682-684.
[12] 李梅.内镜黏膜下剥离术治疗消化道黏膜下隆起性病变的护理干预[J].徐州医学院学报,2014,34(11):821-822.
[13] 钱龄蓉.消化道隆起病变行ESD术中两组器械刀使用的效果比较研究[J].大家健康(中旬版),2016,10(3):109.
[14] 于洪波,戴林,李爱萍,等.超声内镜对2886例上消化道隆起性病变诊断和治疗价值分析[J].胃肠病学和肝病学杂志,2015,24(12):1437-1439.
[15] 梁新文,徐星莉,阿珊,等.老年上消化道隆起性病变电子内镜超声诊断与病理切片结果的差异分析[J].中国老年学杂志,2018,38(7):1627-1629.
[2] 张卫国,李胜保,郜元军,等.上消化道表面光滑型隆起性病变的超声内镜诊断与内镜黏膜切除术、内镜黏膜下剥离术术后病理学比较[J].临床内科杂志,2013,30(8):523-525.
[3] 罗小玲,周传文,潘峰,等.微探头超声内镜联合内镜黏膜下剥离术诊治上消化道黏膜下隆起性病变的研究[J].现代中西医结合杂志,2015,24(24):2698-2700.
[4] 唐光华,蒋丹斌,单际平,等.微探头超声指导内镜黏膜下剥离术治疗上消化道黏膜下隆起性病变的价值[J].胃肠病学,2013,18(12):720-723.
[5] 姚俊,许亚平,周春锁,等.小探头超声内镜对上消化道隆起病变的诊断价值[J].医学影像学杂志,2016,26(3):555-557.
[6] 张志宏,刘晓岗,李良平,等.超声内镜是否足以精准诊断上消化道黏膜下肿物?[J].胃肠病学和肝病学杂志,2017,26(11):1273-1277.
[7] 梁新文,徐星莉,阿珊,等.超声内镜对80例上消化道隆起性病变诊断价值及应用研究[J].新疆医学,2018,48(1):23-26.
[8] 江萌,刘苇婧,李虹,等.赣南地区内镜下粘膜剥离术(ESD)治疗上消化道隆起性病变的护理研究[J].赣南医学院学报,2017,37(6):956-957.
[9] 邵红征,王桂玲,胡志勇,等.超声内镜对上消化道隆起病变诊断价值的临床研究[J].现代消化及介入诊疗,2015,20(1):61-63.
[10] 李焕喜,秦鸣放,王震宇,等.内镜黏膜剥离术治疗上消化道广基息肉、黏膜下肿瘤的临床疗效[J].中国中西医结合外科杂志,2013,20(5):496-498.
[11] 江向武.内镜超声检查术引导下介入诊治老年上消化道及消化壁外占位病变的临床价值[J].中国老年学杂志,2015,35(3):682-684.
[12] 李梅.内镜黏膜下剥离术治疗消化道黏膜下隆起性病变的护理干预[J].徐州医学院学报,2014,34(11):821-822.
[13] 钱龄蓉.消化道隆起病变行ESD术中两组器械刀使用的效果比较研究[J].大家健康(中旬版),2016,10(3):109.
[14] 于洪波,戴林,李爱萍,等.超声内镜对2886例上消化道隆起性病变诊断和治疗价值分析[J].胃肠病学和肝病学杂志,2015,24(12):1437-1439.
[15] 梁新文,徐星莉,阿珊,等.老年上消化道隆起性病变电子内镜超声诊断与病理切片结果的差异分析[J].中国老年学杂志,2018,38(7):1627-1629.