超声内镜指导下黏膜下挖除术治疗胃固有肌层间质瘤.pdfVIP

·10· ·临床论著· 超声内镜指导下黏膜下挖除术治疗 胃固有肌层间质瘤 崔永辉张西亮孙自勤 【摘要】目的观察超声内镜指导下黏膜下挖除术治疗胃固有肌层间质瘤的疗效及安全性。 方法经超声内镜初步诊断为来源于胃固有肌层的间质瘤19例，超声内镜明确病变来源、回声、大 小、血供等情况后行黏膜下挖除治疗，观察其疗效及并发症。结果18例病变完整挖除，1例挖除 失败。术中出现穿孔2例，经钛夹封闭创面治愈。术中有少量出血，经热活检钳钳夹或氩气凝固止血， 出血停止。无迟发性出血。结论黏膜下挖除术治疗胃固有肌层间质瘤安全有效，术前行超声内镜 检查进行严格评估具有重要价值。 【关键词】超声内镜； 胃间质瘤； 黏膜下挖除 submucosalresectionfortreatmentof muscularis Endoscopicultrasonography gastric propria Cui tumor mesenchymal Yonghui,ZhangXiliang，SunZiqin．Departmentof System，the D酒stive First 476400，China People’sHospitalofShangqiuCity，HenanShangqiu author：Cui CorrespondingYonghui，nail：cuizhanhe@126．com Toobservethe and of submueosal 【Abstract】Objectiveefficacysafetyendoscopicultrasonography resectionfortreatmentof museularis tumor．Methods gastric propriamesenchymal Endoscopic of19caseswere stromaltumors from ultrasonographydiagnosis diagnosed originatinggastric preliminary muscularis the source，echo，size，blood proprialayer，theendoscopicultrasonographydiagnosis supply， etc．thantreated submueosalexcavation．Toobservethe effectand byendoscopic therapeutic complications． Results werethefull Was wasseen excavation，1 EiIghteenpatients patientfailed．Intraoperativeperforation in of 2 woundWashealedthetitanium smallamount in cases，the by clamp．A bleedinghappenedoperation and Was hot or bleedingstoppedby biopsyforceps