摘要
目的观察无水酒精+平阳霉素内镜下注射治疗消化道平滑肌瘤的疗效。方法将72例消化道平滑肌瘤患者随机分为A组和B组各36例,A组予以无水酒精+平阳霉素内镜下黏膜注射治疗,B组予以ESD术+外科手术治疗。随访6个月～9年,比较2组复发率、并发症发生率及住院时间。结果 2组术后均无1例复发,差异无统计学意义(P>0.05)。A组术后并发症发生率为0,低于B组的2.8%,且平均住院时间短于B组,差异均有统计学意义(P<0.05)。结论无水酒精+平阳霉素内镜下黏膜注射治疗消化道平滑肌瘤近远期疗效确切、肯定,避免了创伤、穿孔等并发症的发生,方法简便,易于推广。
Objective To observe the therapeutic effect of absolute alcohol plus pingyangmycin hydrochloride injection under the endoscope in the treatment of enteron leiomyoma.Methods The patients with enteron leiomyoma were randomly divided into group A and group B with 36 cases in each group.The group A was treated by pingyangmycin hydrochloride plus absolute alcohol injection.The group B treated by ESD plus surgical treatment.All the patients were followed up in 6 months to 9 years after the treatment respectively.The recurrence,incidence of complications and hospitalization time were compared between 2 groups.Results Both groups had no recrudescence in 1 cases,so there was no significant differences between 2 groups (P>0.05).The incidence of complications of group A was 0,which was lower than 2.8% of group B,and the average hospitalization time of group A was lower than that of the group B,the differences were statistically significant (P<0.05).Conclusion The method that absolute alcohol plus pingyangmycin hydrochloride injection under the endoscope in the treatment of enteron leiomyoma has definite near and far curative effect and can avoid the complications such as considerable wound and perforation etc,and it is easy to operate.
出处
《临床合理用药杂志》
2013年第11期6-7,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
内镜
无水酒精
平阳霉素
平滑肌瘤
消化道
Endoscope
Absolute alcohol
Pingyangmycin hydrochloride
Leiomyoma
Enteron
