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带线钛夹在食管内镜下黏膜剥离术中的应用价值

, PP. 2508-2510

Keywords: 带线钛夹,内镜下黏膜剥离术,早期食管癌,癌前病变

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Abstract:

目的探讨带线钛夹在食管内镜下黏膜剥离术(endoscopicsubmucosaldissection,ESD)中的应用价值。方法选取2012年10月至2014年7月51例行ESD治疗的早期食管癌及癌前病变患者资料进行分析。其中17例患者在术中使用带线钛夹辅助剥离(试验组),而其余34例患者则没有使用钛夹辅助剥离(对照组)。带线钛夹夹持部位为黏膜切开后病灶口侧黏膜的边缘。结果所有患者均成功地完成了ESD治疗,带线钛夹辅助ESD剥离的患者手术时间更短。试验组的患者没有相关的手术并发症的发生,而对照组有3例患者在手术中损伤肌层。结论带线钛夹辅助食道ESD治疗可以使手术时间更短,手术过程更安全有效。它是一种安全、有效的辅助工具。

References

[1]  Oyama T, Tomori A, Hotta Ket al. Endoscopic submucosal dissection of early esophageal cancer[J]. Clin Gastroenterol Hepatol, 2005, 3(7 Suppl 1): S67-S70. [2]李岩, 徐宏伟, 陆喜荣, 等. 内镜黏膜下剥离术治疗早期食管癌及癌前病变[J]. 胃肠病学和肝病学杂志, 2012, 21(11): 1051-1053. [3]Jeon W J, You I Y, Chae H B,et al. A new technique for gastric endoscopic submucosal dissection: peroral traction-assisted endoscopic submucosal dissection[J]. Gastrointest Endosc, 2009, 69(1): 29-33. [4]Hijikata Y, Ogasawara N, Sasaki M,et al. Endoscopic submucosal dissection with sheath-assisted counter traction for early gastric cancers[J]. Dig Endosc, 2010, 22(2): 124-128. [5]Repici A, Hassan C, Carlino A,et al. Endoscopic submucosal dissection in patients with early esophageal squamous cell carcinoma: results from a prospective Western series[J]. Gastrointest Endosc, 2010, 71(4): 715-721. [6]Teoh A Y, Chiu P W, Wong S K,et al. Difficulties and outcomes in starting endoscopic submucosal dissection[J]. Surg Endosc, 2010, 24(5): 1049-1054. [7]Oda I, Suzuki H, Nonaka S,et al. Complications of gastric endoscopic submucosal dissection[J]. Dig Endosc, 2013, 25(Suppl 1): 71-78. [8]Kim S G. Endoscopic manipulation of complications[J]. Korean J Gastrointest Endosc, 2007, 35(Suppl 1): S65-S69. [9]Gotoda T. Endoscopic resection of early gastric cancer[J]. Gastric Cancer, 2007, 10(1): 1-11. [10]Oda I, Saito D, Tada M,et al. A multicenter retrospective study of endoscopic resection for early gastric cancer[J]. Gastric Cancer, 2006, 9(4): 262-270. [11]Kim S H, Moon J S, Youn Y H,et al. Management of the complications of endoscopic submucosal dissection[J]. World J Gastroenterol, 2011, 17(31): 3575-3579. [12]Oyama T, Kikuchi Y, Shimaya S ,?et al?. Endoscopic mucosal resection using a hooking knife (hooking EMR)[J]. Stomach Intest,2002,37(9): 1155-1161. [13]Ota M, Nakamura T, Hayashi K,et al. Usefulness of clip traction in the early phase of esophageal endoscopic submucosal dissection[J]. Dig Endosc, 2012, 24(5): 315-318.
[2]  张扬,于凌燕,于劲,等.1例内镜下切除直肠巨大LST的疗效及围术期护理[J].第三军医大学学报,2013,35(13):1401.

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