摘要
目的探讨超声内镜诊断和治疗上消化道早期肿瘤的可靠性。方法超声内镜诊断上消化道早期肿瘤,有手术或内镜切除标本可证实诊断的21例,并对其中12例有适应证的患者进行超声内镜指导下的早癌切除术。结果超声内镜诊断早期癌的准确性66%,12例内镜切除的早期癌切除完全,仅个别少量出血并发症。结论超声内镜对上消化道早期癌的诊断有较高敏感性,部分类型的早期癌在超声内镜指导下行内镜切除术安全、可行。
Objective To study the diagnosis and treatment of early upper gastrointestinal cancer by endoscopic uhrasonography(EUS). Meshods Twenty one patients with early upper gastrointestinal cancer were examed by EUS, of which 12 patients underwent EUS-assisted therapy, including electrocoagtdation, endoscopic mucosal resection(EMR). Results The accuracy accounted for 66%. Mucosal tumors in 12 patients were reseeted under EUS guidance and complications were rare. Conclusion Upper gastrointestinal submucosal protrusive lesions can be distinguished dearly by EUS. It is safe and effective to perform EMR under the guidance of EUS.
出处
《微创医学》
2006年第5期356-358,共3页
Journal of Minimally Invasive Medicine
关键词
超声内镜
上消化道早期癌
内镜切除
Endoscopic ultrasonography
Early upper gastrointestinal cancer
Endoscopic mucosal resection