摘要
近年来,消化内镜技术的飞速发展给内镜下治疗带来了革命性的改变。尤其是内镜切除的范围已经由内向外从黏膜层、黏膜下层过渡到固有肌层,甚至突破浆膜层到达腹膜腔内,相应的内镜治疗技术也从黏膜切除术、黏膜剥离术、黏膜下隧道内镜技术、全层切除术衍生到经自然腔道内镜手术。黏膜外科和浆膜外科已经完美融合,消化内镜医生部分取代了外科医生的工作。中国和日本内镜专家在此方面做出了巨大贡献,大大扩展了内镜切除的适应证。现对内镜切除新技术及其相应适应证进行总结,以期指导临床。
In recent years,the rapid development of digestive endoscopy technology has brought revolutionary changes to endoscopic treatment.Especially,the extent of endoscopic resection has gone through the leap of mucosal layer,submucosal layer,muscular layer and extraserosal lesions from inside to outside,and the corresponding treatment technology is from endoscopic mucosal resection,endoscopic submucosal dissection,submucosal tunnelling endoscopic resection,endoscopic full-thickness resection to new natural orifice transluminal endoscopic surgery.Mucosal surgery and serosal surgery have been fused together,and digestive endoscopists have done part of surgeon’s work.Chinese and Japanese endoscopists have made great contribution and greatly promoted these endoscopic techniques,thus,the indications of endoscopic resection have been extended.In this review,we summarized the indications of these new methods in hope of guiding clinical practice.
作者
陈磊
CHEN Lei(Institute of Gastroenterology,First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038,China)
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2019年第19期1885-1889,共5页
Journal of Third Military Medical University
