摘要
目的开展无痛胃镜下早期胃癌的诊断和治疗。方法选择2011年1月～2012年2月进行无痛胃镜检查,对可疑病变内镜下直视取活检3～5块,经病理确诊为早期胃癌、重度不典型组增生、中度不典型组增生的患者共6例,均采用内镜下黏膜切除术治疗。结果无痛内镜技术使患者在整个检查和治疗过程中处于睡眠状态,更加有利于治疗操作,6例中直接圈套器切除5例,透明帽切除1例,均为一次性完全切除,未发现出血、穿孔等并发症,内镜分型隆起型4,其中亚蒂型3个,无蒂型1个,平坦型2个。早期癌2例,重度不典型增生3例,中度不典型增生1例。结论采用内镜下治疗早期胃癌治疗具有创伤小、并发症少、恢复快的特点,内镜下治疗已经成为早期胃癌的首选治疗方法。
Objective To carry out the diagnosis and treatment of early gastric carcinoma by painless gastroscopy. Methods Attempted to carry out the painless gastroscopy examination from January 2011 to Feruary 2012. Three to five biopsy samples with suspected pathological changes were obtained by endoscopic biopsy under direct vision. Six sample cases were pathologically diagnosed with early gastric carcinoma, severe atypical hyperplasia and moderate atypical hyperplasia. Later on, these six cases were treated by endoscopic mucosal resection. Results By painless endoscopy, doctors were able to carry out treatment operation more efficiently as patients are in a sleep state during the diagnosis and treatment. Five （5 out of 6） sample cases were resected？by snare excision while one （1 out of 6） sample cases was resected by hyaline cap. Surgeries for all of the sample cases were one-time complete resection without complication like bleeding and perforation. Besides, referring to the endoscopic classification, four sample cases were protruding type （3 were wide base type and one was sessile type） and two were flat type. Two cases were early carcinoma, three cases were severe atypical hyperplasia and one case was moderate atypical hyperplasia. Conclusion Endoscopic treatment has become the preferred treatment plan for early gastric carcinoma as it has the advantages of narrow wound, low complication rate and fast recovery.
出处
《中国医药导报》
CAS
2012年第19期153-154,共2页
China Medical Herald
基金
广东省东莞市科学技术局立项项目东科[2011]62号(立项编号:201110515014023)
关键词
早期胃癌
无痛内镜技术
内镜下黏膜切除术
Early gastric carcinoma
Painless endoscopy
Endoscopic mucosal resection
