【摘要】 目的:探讨内镜下黏膜切除术(Endoscopic Mucosal Resection,EMR)在治疗下消化道肿瘤中的临床价值及安全性.方法:94例患者共175个病灶,以注射法行黏膜切除治疗,记录操作方法并按照性别年龄分布情况、并发症、切除标本病理类型等进行分析.结果:94例患者中20-29岁组,30-39岁组,40-49岁组,50-59岁组,60-69岁组,70-79岁组,80-89岁组所占比例分别为1.06%,4.26%,19.15%,40.43%,22.34%,10.64%,2.12%.175个病灶均完整切除,治愈率100%.并发症:术中渗血5例(5.32%),以氩离子凝固术(Argon Plasma Coagulation)成功止血.无一例发生延迟出血、穿孔、狭窄及败血症等严重并发症.术后病理诊断:炎性息肉3个,增生性息肉67个,腺瘤性息肉104个,类癌1个.结论:内镜下黏膜切除术在下消化道肿瘤治疗中,是一种安全、有效、微创的内镜治疗手段.更多还原

【Abstract】 Objective: To investigate the clinical value and safety of endoscopic mucosal resection(EMR)in the treatment of lower digestive tract tumor. Methods: A total of 175 lesions from 94 patients were treated with injections mucosal resection, the operation methods, distribution of age and gender, complications and pathological types of resection specimen were analyzed. Results: In this study, the 94 patients were divided into 7 groups that were 20-29,30-39, 40-49, 50-59, 60-69, 70-79 and 80-89 years old group, and each group accounted for 1.06%, 4.26%,19.15%, 40.43%, 22.34%, 10.64%, and 2.13% respectively. The 175 lesions were treated by complete resection, and the cure rate was 100%. Complications: intraoperative bleeding occurred in 5 cases(5.32%), and was successfully stanched by argon plasma coagulation. There was no severe complications such as delayed bleeding, perforation, stenosis and septicaemia. Postoperative pathological diagnosis: 3 lesions were inflammatory polyps, 67 lesions were hyperplastic polyps, 104 were adenomatous polyps and 1 was carcinoid. Conclusion: Endoscopic mucosal resection is a safe, effective and minimally invasive endoscopic treatment for the lower digestive tract tumor.更多还原