80岁以上老年患者内镜黏膜下剥离术特点

发布时间：2018-08-01 13:07

【摘要】：目的分析80岁以上老年患者内镜黏膜下剥离术(ESD)的临床特点。方法回顾性分析陆军总医院消化内镜中心从2010年9月-2017年1月行ESD治疗的80岁以上患者资料,41例患者共行47次ESD。对病变部位、病理类型和并发症进行分析。结果所有患者顺利完成ESD术,食管病变3例,胃病变21例,结肠病变10例,直肠病变13例。术后病理学检查早癌及癌前病变34例,间质瘤2例,神经内分泌肿瘤1例,其他病理类型10例。1例贲门早癌患者追加腹腔镜下淋巴结清扫手术。术后并发症7例,4例为术后延迟出血,2例为术后谵妄,1例为肺部感染导致的发热。结论 80岁以上患者结肠ESD比例高,术后出血为最主要并发症。
[Abstract]:Objective to analyze the clinical features of endoscopic submucosal dissection (ESD) in elderly patients over 80 years old. Methods the data of 41 patients over 80 years old treated with ESD from September 2010 to January 2017 were analyzed retrospectively. The location, pathological type and complications were analyzed. Results all the patients underwent ESD successfully, including esophageal lesions in 3 cases, gastric lesions in 21 cases, colon lesions in 10 cases and rectal lesions in 13 cases. Postoperative pathological examination included early carcinoma and precancerous lesions (34 cases), stromal tumors (2 cases), neuroendocrine tumors (1 case) and other pathological types (10 cases). Postoperative complications in 7 cases were delayed hemorrhage in 4 cases, 2 cases were postoperative delirium and 1 case was fever caused by pulmonary infection. Conclusion the proportion of colon ESD is high in patients over 80 years old, bleeding is the main complication.
【作者单位】：陆军总医院消化内科;
【分类号】：R57

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