摘要
自１９９１年３月至１９９２年１２月，我院应用双胃镜对６例粘膜层早期胃癌及其癌前病变进行了内镜下粘膜切除术，其中Ⅱｃ型早期胃癌１例，Ⅱａ型早期胃癌２例，扁平隆起型重度异型增生２例，山田１型腺瘤１例，所有病变直径均小于２ｃｍ。一次操作病变完全切除３例，经第二次操作又完全切除２例，残留切除１例，后又补充外科手术切除。经追踪３～２１个月，尚未见复发征象。文中对本法适应症。
6
cases with gastric lesions were underwent mucoresectomy by two endoscopes. follows:
3cases were early cancer(Ⅱc type: 1 case;Ⅱa type: 2 cases)localized in the gastric
mucosa;2cases were severe degree dysplasia;l case was adenoma,Yamada I type. The sizes
of alllesions were less than 2cm. 2 cases with early gastric cancer were resected completely.
onecase with early cancer resected incompletely. A radical gastrectomy was performed
onemonth after endoscopic mucoresectomy. 2 cases of severe degree dysplasia were resected
twotimes. 1 case of adenoma was resected completely. All cases have been followed up for
3～21month. Endoscopic and pathological studies showed that there were no signs of
recurrence.This method is safe and with less complications,The indications and criteria of
completeresection were discussed.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1994年第4期197-199,共3页
Chinese Journal of Digestion
关键词
粘膜切除术
胃肿瘤
内窥镜
Early gastric cancer
Endoscopic
mucoresectomy.
