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通过内镜诊断与治疗食管粘膜下肿瘤,以替代外科手术。方法:采用息肉圈套切除术的方法切除小于或等于2cm的食管粘膜下肿瘤。结果:采用息肉圈套切除术的22例患者均一步完全切除肿瘤。肿瘤直径从0.5cm到2cm,平均为0.8cm。组织学诊断均为平滑肌瘤,没有发生穿孔、大出血等严重并发症, 3例患者出现渗出性出血,用止血药即得到止血。本组患者随访3月~12个月,无1例复发。结论:食管粘膜下肿瘤经内镜切除的方法是安全和有效的。此方法在获得完整的组织、病理学检查的同时,肿瘤也得到了完全的切除。对有症状的病例,这种方法可认为是替代外科手术的一种选择。
Endoscopic diagnosis and treatment of esophageal submucosal tumors to replace surgery. Methods: The method of polyp resection of the mucosa less than or equal to 2cm resection of the submucosal tumor. RESULTS: Twenty-two patients underwent polypnotomy were completely resected. Tumor diameter from 0.5cm to 2cm, an average of 0.8cm. Histological diagnosis of leiomyoma, there was no perforation, bleeding and other serious complications, exudative hemorrhage occurred in three patients with hemostatic drugs that hemostasis. The patients were followed up for 3 months to 12 months, no recurrence in 1 patient. Conclusion: Endoscopic resection of esophageal submucosal tumor is safe and effective. This method in obtaining a complete tissue, pathological examination at the same time, the tumor has been completely removed. For symptomatic cases, this method can be considered as an alternative to surgery as an option.