摘要
目的探讨利用隧道技术剥离食管长环周病变的可行性、安全性及疗效。方法回顾性分析利用隧道技术治疗的4例食管长环周病变患者(食管高级别瘤变或原位癌)的临床资料。4例患者均为男性,年龄56～69岁,平均65.5岁。结果 4例患者均成功利用隧道技术实现了病变的完整剥离,病变长度6～10cm,切除后活体创面上下缘距离为8～10cm,平均长度8.75cm。术中1例出现小动脉出血、1例出现小静脉出血,均经及时电凝止血,无1例患者发生术后出血。1例患者出现皮下积气、右侧气胸,经闭式引流后积气及气胸消失。术后4例患者均出现吞咽困难和食管狭窄,经球囊扩张治疗后均明显缓解。结论利用隧道技术能够安全、有效并且完整剥离食管长环周病变。
Objective To explore the feasibility,safety and efficacy of treating patients with long circumferential lesions by Tunnel Method. Methods Clinical data of 4 patients with long circumferential lesions treated by Tunnel Method in our digestive endoscopic center were retrospectively reviewed.：All 4 patients were male aging from 56 to 69 years old with an average of 65.5. Results The 4 patients were all treated successfully by Tunnel Method with lesions completely dissected.The length of lesions was from 6cm to 10 cm,and the length of the dissected esophageal mucosa was from 8cm to 10cm with an average of 8.75. During operation,one arterial bleeding and one intravenous occurred but were both immediately controlled by electric coagulation forceps,and no post-operation bleeding occurred.One patient suffered subcutaneous emphysema and pneumothorax that were successfully cured by thoracic closed drainage.Dysphasia and esophageal stenosis were observed in all 4 patients but were soon alleviated by pneumatic balloon dilatation. Conclusions Tunnel Method can be used to treat long circumferential lesions safely and efficiently.
出处
《中华腔镜外科杂志（电子版）》
2011年第5期18-20,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
隧道技术
环周病变
食管
高级别瘤变
Tunnel Method
Circumferential lesion
Esophagus
High grade neoplasia
