高频电切除术在微小食管平滑肌瘤诊断和治疗中的作用

Clinical Application of Endoscopic Electroexcision on Diagnosis and Treatment in Small Leiomyomas of Esophagus

目的:探讨经胃镜高频电切阶术对食管微小平滑肌廇诊断和治疗的意义。方法:2001年3月-2003年5月,我院共收治临床诊断微小食管平滑肌廇患者54例,对其临床诊治资料进行分析。结果:54例食管微小平滑肌瘤患者,其中49例行高频电切除治疗,2例行外科手术治疗,3例随访观察。术后常规送切除组织行病理检查,其中50例获得病理诊断,确诊食管平滑肌廇47例。临床诊断食管微小平滑肌瘤的符合率为94.0％(47/50),高频电切除成功率为90.7％(49/54)。高频电切除治疗术后无食管穿孔等严重并发症发生,创面渗血2例(2/49,4.1％);术后1月-2年复查胃镜未见病变再发。结沦:胃镜下高频电切除微小食管平滑肌瘤,安全、有效,不仅有助于明确诊断,而且可使其获得治疗。

Objective:To study clinical application of endoscopic electroexcision on diagnosis and treatment in small leiomyoma of esophagus. Methods: We studied 54 cases with small leiomyoma of esophagus diagnosed clinically in our hospital from March, 2001 to May, 2003. Results: Electroexcision was performed in 49 patients in the 54 cases of esophagus small leiomyoma diagnosed clinically. Surgical resection was performed in 2 cases, and 3 cases were observed clinically. Histological study was performed postoperatively. 50 cases were examined pathologically, and 47 cases were confirmed as leiomyoma. of esophagus. These endoscopic electroexcision procedures were not accompanied with serious complications such as perforation, massive bleeding or stenosis. Oozing bleeding occurred in 2 patients (2/49, 4.1%), which was easily stopped by spraying adrenalin. After a follow-up period of 1 to 24 months, no local recurrence was found. Conclusion: Endoscopic electroexcision has been proven to be a safe, effective, and less invasive procedure for small esophageal leiomyoma treatment.