超声内镜下肿瘤与固有肌层之间的高回声线在指导内镜黏膜下剥离术治疗起源于固有肌层的黏膜下肿瘤中的价值（英文）

发布时间：2018-04-25 11:43

本文选题：胃粘膜下肿瘤 + 内镜黏膜下剥离术　；参考：《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》2017年08期

【摘要】：目的:近年微创内镜技术作为治疗起源于固有肌层的黏膜下肿瘤的新型方式迅速发展。本研究旨在通过观察超声内镜下起源于固有肌层的肿瘤包膜完整性及所处位置(位于浅肌层或深肌层)、与浆膜层的位置关系和肿瘤与固有肌层紧密接触长度占肿瘤包膜长度的比例来评估完整切除率、穿孔及出血等并发症发生率、预后情况,进一步指导内镜下治疗方式的选择。创新点:首次提出通过超声内镜术前评估肿瘤包膜的完整性、在固有肌层中所处的位置及与固有肌层连接的长度选择内镜下治疗方式,可以提高完整切除率及降低术中并发症的发生。方法:收集浙江省人民医院及浙江省立同德医院2014年02月至2016年6月接受内镜治疗的胃固有肌层肿瘤患者资料,总结并分析其临床特点、内镜及超声内镜表现、临床结果及术后随访资料。结论:肿瘤包膜的完整性与完全切除率密切相关。起源于深肌层以及与固有肌层为宽连接的黏膜下肿瘤在内镜黏膜下剥离术(ESD)中穿孔可能性较大。通过超声内镜术前评估起源于固有肌层的胃黏膜下肿瘤包膜的完整性、所处的位置以及与固有肌层连接的长度,有助于提高完整切除率和减少术中并发症的发生。
[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.
【作者单位】： Department
【分类号】：R735.2

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