内镜超声在早期食管癌诊断和治疗中的应用角.pdfVIP

·496 · Chin J Gastroenterol，2015，Vol. 20，No.8 ·综 述· 内镜超声在早期食管癌诊断和治疗中的应用 刘宇亭 徐 灿 李兆申* 第二军医大学附属长海医院消化内科（200433 ） 摘要 早期食管癌是指来源于黏膜层和黏膜下层无淋巴结转移的食管癌，一般无明显临床症状，多在内镜检 查或体检时发现。早期食管癌以内镜下治疗为主，术后5年生存率可达90%以上。一旦患者出现症状，则多伴局 5年生存率显著降低。因此，食管癌的早期诊断、早期治疗对于提高患者生存率至关 部淋巴结转移，治疗效果欠佳， 重要。随着内镜技术的发展，尤其是内镜超声（EUS）的日益成熟，使早期食管癌的检出率大幅提高。此外，EUS亦 在早期食管癌术前分期中扮演重要角色。本文就 EUS在早期食管癌诊断和治疗中的应用作一综述。 关键词 食管肿瘤； 腔内超声检查； 肿瘤分期； 内镜治疗 Application of Endoscopic Ultrasonography in Diagnosis and Treatment of Early Esophageal Cancer LIUYuting， XU Can，LI Zhaoshen. Department of Gastroenterology，Changhai Hospital，the Second ilitary edical University， Shanghai（200433） Correspondence to：LI Zhaoshen，Email：zhsli@81890.net Abstract Early esophageal cancer is derivedfrom mucosa and su mucosa without lymph node metastasis. They are detected generally during endoscopy or physical examinationwithout clinical symptoms. Maintreatment of early esophageal cancer is endoscopic resection，and the 5-year survival rate is over 90%. Once symptoms occur，local lymph node metastasis is often present and the prognosis is poor with a markedly reduced 5-year survival rate. Thus it is vital to diagnose and treat esophageal cancer at an early stage. With the development of endoscopic techniques，especially the proficiency of endoscopicultrasonography（EUS），thedetectionrateof early esophagealcancerhas eenincreasedgreatly. EUS also plays an important role in the staging of early esophageal cancer. This article reviewedthe application of EUS in diagnosis and treatment of early esophageal cancer. Key words Esophageal Neoplasms； Endosonography； Neoplasm Staging； Endoscopic Therapy 早期食管癌是指来源于黏膜层和黏膜下层无淋巴结转 应用作一综述。 移的食管癌，一般无明显临床