内镜下黏膜剥离术对胃肠道神经内分泌癌的治疗价值

Value of endoscopic submucosal dissection for treatment of the gastrointestinal neuroendocrine carcinomas

目的探讨内镜下黏膜剥离术(endoscopic submucosal dissection,ESD)对早期胃肠道神经内分泌癌的治疗价值。方法回顾性分析我院经病理确诊的早期胃肠道神经内分泌癌患者16例,经ESD治疗并随访6～18个月。结果 12例患者治愈,1例患者因并发出血行手术治疗,3例患者于治疗后1个月复查仍有病变残留,行手术治疗。成功率75%。结论 ESD治疗早期胃肠道神经内分泌癌有效,创伤小,费用少,恢复快。

Objective： To explore the value of endoscopic submucosal dissection（ESD） for the treatment of early gastrointestinal neuroendocrine carcinomas.Methods： Retrospective analysis was made of 16 cases of early gastrointestinal neuroendocrine carcinomas confirmed pathologically,all the patients were treated by ESD and followed up 6~18 months.Results： Twelve patients were cured,1 patient underwent surgery due to hemorrhage,3 patients remained residual disease after 1 month,then were treated by surgery.The success rate was 75%.Conclusion： ESD is effective to treat early gastrointestinal neuroendocrine carcinomas,with small trauma,costs less and faster recovery.