摘要
目的探讨内镜下黏膜切除术(endoscopic mucosal resection,EMR)、黏膜分片切除术(endoscopic piecemeal mucosal resection,EPMR)和内镜翻转黏膜切除术(retroflex endoscopic mucosal resection,REMR)在治疗大肠侧向发育型肿瘤(laterally spreading tumor,LST)中的临床应用价值。方法选取2009年6月-2012年6月在昆山市中医医院行肠镜检出LST病变的患者18例,10例行注射法EMR切除病灶,6例行注射法EPMR切除病灶,2例行REMR切除病灶。结果 10例行EMR切除的病变,均完整切除,无1例复发。6例行EPMR切除的病变,1例失败,5例完整切除,其中1例复发。2例行REMR切除的病变,完整切除,无复发。结论内镜下治疗LST操作安全、创伤少、恢复快,在LST的治疗中值得推广。
Objective To evaluate the clinical value of endoscopic mucosal resection （EMR）,endoscopic piecemeal mucosal resection （EPMR）,and retroflex endoscopic mucosal resection （REMR） in the treatment of laterally spreading tumor （LST） of large intestine.Methods Eighteen cases of LST diagnosed in Kunshan Hospital of Traditional Chinese Medicine from Jun.2009 to Jun.2012 were selected.Ten cases of tumors were excised by EMR,6 cases by EPMR,and 2 cases by REMR.Results After follow-up,all ten cases performed by EPMR were completely excised,with no relapse.One of the six cases underwent EPMR failed to remove the tumor completely and one in other five completely-excised relapsed during the following-up.The tumor of two cases underwent REMR were completely removed with no relapse.Conclusion Endoscopic treatment of colorectal laterally spreading tumors is higher security,lower damage and more rapid recovery,which may be applied more widely in the treatment of LST.
出处
《胃肠病学和肝病学杂志》
CAS
2013年第11期1138-1140,共3页
Chinese Journal of Gastroenterology and Hepatology
关键词
黏膜切除术
黏膜分片切除术
内镜翻转黏膜切除术
大肠
侧向发育型肿瘤
Endoscopic mucosal resection
Endoscopic piecemeal mucosal resection
Retroflex endoscopic mucosal resection
Large intestine
Laterally spreading tumor
