十二指肠隆起性病变的内镜治疗

发布时间：2018-04-27 16:22

本文选题：十二指肠隆起性病变 + 内镜治疗　；参考：《中国内镜杂志》2017年05期

【摘要】：目的分析十二指肠隆起性病变内镜治疗的安全性及有效性。方法对十二指肠隆起性病变患者内镜治疗的临床资料、内镜治疗方法、病理特点、并发症和随访情况进行回顾性分析。结果 112例患者中111例均行内镜治疗,1例中转外科治疗。其中行电凝灼烧术49例,圈套切除术+内镜下黏膜切除术(EMR)36例,内镜黏膜下剥离术(ESD)27例。并发症发生率16.96%(19/112),其中1例因术中大出血,止血困难,中转开腹治疗,7例术中活动性出血,予电热活检钳止血治疗,穿孔6例,迟发性出血2例,一过性淀粉酶升高2例,迟发性穿孔1例。术后随访1~12个月总有效率100.0%。结论内镜治疗十二指肠隆起性病变,具有创伤小、恢复快、费用低和并发症少等优点,内镜治疗将在十二指肠肿瘤中发挥重要的作用。
[Abstract]:Objective to analyze the safety and efficacy of endoscopic treatment for duodenal protuberance lesions. Methods the clinical data, endoscopic treatment, pathological features, complications and follow-up of patients with duodenal protuberance disease were retrospectively analyzed. Results of 112 cases, 111 cases were treated by endoscopy and 1 case was transferred to surgery. Among them, 49 cases underwent electrocoagulation and burning, 36 cases underwent endoscopic mucosal resection, and 27 cases underwent endoscopic submucosal dissection. The incidence of complications was 16.96% / 112%. Among them, one case had severe bleeding during operation, difficulty in hemostasis, conversion to laparotomy for 7 cases of intraoperative active bleeding, electrothermal biopsy forceps for hemostasis, perforation in 6 cases, delayed hemorrhage in 2 cases, and transient elevation of amylase in 2 cases. Delayed perforation in 1 case. The total effective rate was 100.0 for 1 ~ 12 months after operation. Conclusion Endoscopic treatment of duodenal protuberance lesions has the advantages of less trauma, faster recovery, lower cost and less complications. Endoscopic therapy will play an important role in duodenal tumors.
【作者单位】：福建医科大学附属泉州第一医院内窥镜室;
【分类号】：R574.51

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