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Diagnosis and therapy of benign upper gastrointestinal protruding lesions using endoscopic ultrasonography: an analysis of 118 cases

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Author:
No author available
Journal Title:
WORLD CHINESE JOURNAL OF DIGESTOLOGY
Issue:
21
DOI:
10.3969/j.issn.1009-3079.2009.21.018
Key Word:
超声内镜;上消化道;平滑肌瘤;间质瘤;治疗;透明帽下黏膜切除术

Abstract: 目的:探讨超声内镜在上消化道良性隆起型病变(upper gastrointestinal benign protrusive lesions,UGBPL)的诊断价值和不同治疗方法的优缺点.方法:运用超声内镜检查118例上消化道隆起型病变,并对其中80例分别用内镜下高频电直接切除、透明帽下黏膜切除术(cap-endoscopic mucosal resection,cEMR)、尼龙绳结扎、圈套器套扎及鼠齿钳钳夹治疗.结果:食管隆起病变以平滑肌瘤最常见,占食管良性病变的62.2%;胃间质瘤占胃良性隆起性病变的50%,十二指肠以息肉多见,占十二指肠良性隆起性病变57.9%,囊肿占31.6%;本组施行内镜下治疗仅cEMR术中少量渗血,用氩气或者钛夹即可止血.结论:超声内镜下高频电直接切除、尼龙绳结扎、圈套器套扎、鼠齿钳钳夹方法安全、有效,cEMR相对有出血危险.

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