期刊文献+

直肠类癌的内镜超声诊断价值和经肛门内镜微创切除的疗效分析 被引量:4

Endoscopic Ultrasonography and Transanal Endoscopic Microsurgery in the Diagnosis and Treatment of Rectal Carcinoid
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摘要 【目的】研究内镜超声(endoscopic ultrasonography,EUS)对直肠类癌的诊断价值;探讨经肛门内镜微创切除(transanalendoscopicmicrosurgery,TEM)直肠类癌的疗效。【方法】应用EUS探头对48例电子结肠镜发现的直肠黏膜隆起性病灶进行超声检查;对诊断为直肠类癌的病例行TEM治疗;比较EUS诊断和病理检查结果;观察TEM的安全性及疗效。【结果】经EUs检查,诊断直肠类癌18例,16例得到病理证实,EUS诊断准确率88.9%(16/18);TEM术后均未发生并发症,随访2~50个月未发现肿瘤局部复发。【结论】EUS可以明确直肠类癌的肠壁来源、大小、内部回声性质、边界及有无固有肌层和周围血管浸润,对直肠类癌的诊断有临床意义;TEM为治疗直肠类癌提供了一种微创、安全、有效的手术方式。 [Objective]To study the value of endoscopic ultrasonography(EUS) in the diagnosis of rectal carci- hold, and to explore the efficacy of transana[ endoscopic microsurgery(TEM). [Methods] EUS was performed in 48 patients with mucosal protrusion lesions by colonoscopy. Patients diagnosed as rectal carcinoid underwent TEM. The diagnostic results of EUS were compared with pathological findings. The safe and effectiveness of TEM were ob- served. [Results] Eighteen patient were diagnosed as rectal carcinoid by EUS. Sixteen patients were confirmed by pathological examination, and the diagnosis accuracy rate of EUS was 88.9o//00 (16/18). There were no complications after TEM. The follow-up for 2~50 months showed no local tumor recurrence. [Conclusion] EUS can identify the origin of intestinal wall, size, internal echo property, border, muscularis propria and peripheral vessel infiltration of rectal carcinoid, so it is of significance in the diagnosis of rectal carcinoid. TEM is a safe and effective minimally inva- sive surgical technique for the treatment of rectal carcinoid.
出处 《医学临床研究》 CAS 2013年第4期689-691,694,共4页 Journal of Clinical Research
关键词 直肠肿瘤 超声检查 直肠肿瘤 外科学 Rectal Neoplasms/US Rectal Neoplasms/SU
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参考文献16

  • 1万德森.低位直肠类癌的外科治疗[J].中国实用外科杂志,2005,25(3):143-144. 被引量:29
  • 2邱辉忠,朱预,唐伟松.大肠类癌(附19例分析)[J].北京医学,1994,16(6):328-331. 被引量:3
  • 3Memon MA,Nelson H. Gastrointestinal carcinoid tumors:current management strategies[J]. Dis Colon Rectum,1997,40 .9):1101-1118.
  • 4Caldarola VT, Jackman RJ, Moertel CG, et al . Carcinoidtumors of the rectum[J]. Am J Surg,1964, 107 .6) ; 844-849.
  • 5姚鎏琳,单光圻.直肠类癌60例的临床治疗[J].中华肿瘤杂志,1992,14(3):216-218. 被引量:27
  • 6吕愈敏.直肠类癌[J].中国实用内科杂志,2000,20(10):582-584. 被引量:9
  • 7Soja J. Early-stage carcinoids of the gastrointestinal tract: ananalysis of 1914 reported cases[J]. Cancer, 2005,103 (8):1587-1595.
  • 8Kameyama H, Niwa Y, Arisawa T, et al . Endoscopic ultra-sonography in the diagnosis of submucosal lesions of thelarge intestines[J]. Gastrointest Endosc . 1997, 46 ( 5 ) , 406-411.
  • 9周平红,姚礼庆.微探头超声对下消化道疾病的诊断价值[J].中华消化内镜杂志,2002,19(4):205-207. 被引量:24
  • 10Buess G,Theiss R, Hhtterer F, et al . Transanal endoscopicsurgery of the rectum-testing a new method in animal experi-ments[J]. Leber Magen Darm , 1983,13(2) : 73-77.

二级参考文献17

  • 1朱人璋,上海第二医科大学学报,1986年,6卷,316页
  • 2单光圻,肿瘤防治研究,1982年,9卷,143页
  • 3Quan S H,Dis Colon Rectum,1964年,7卷,197页
  • 4吕愈敏,北京医科大学学报,1995年,27卷,增刊,64页
  • 5Maeda K,Maruta M,Utsumi T,et al.Minimally invasive transanal surgery for localized rectal carcinoid tumors.Tech Coloproctol,2002,6(1):33-36.
  • 6Shim KN,Yang SK,Myung SJ,et al.Atypical endoscopic features of rectal carcinoids.Endoscopy,2004,36(4):313-316.
  • 7王存川 吴东波 见:万德森 潘志忠主编.大肠癌的微创手术[A].见:万德森,潘志忠主编.大肠癌[C].北京:中国医药科技出版社,2004.97-101.
  • 8喻德洪.源自上皮的肿瘤.类癌[A].见:喻德洪主编.现代肛肠外科学[C].北京:人民军医出版社,1997.396-398.
  • 9Memon MA,Nelson H.Gastrointestinal carcinoid tumors-current management strategies.Dis Colon Rectum,1997,40(9):1101-1118.
  • 10Caldarola VT,Jackman RJ,Moertel CG,et al.Carcinoid tumors of the rectum.Am J Surg,1964,107(6):844-849.

共引文献74

同被引文献32

  • 1江晓华,蓝霞.胃肠道类癌12例诊治体会[J].中国现代手术学杂志,2009,13(1):8-10. 被引量:2
  • 2陈文科,邹兵,王成文,刘永革,郭海,郑爱萍.消化道类癌43例的临床诊治及预后分析[J].中华临床医师杂志(电子版),2011,5(12):3628-3630. 被引量:7
  • 3Hermannek P, Wittekind C. Residual tumor ( R ) classification and prognosis [ J ] . Semin Surg Oncol, 1994, 10 (1): 12-20.
  • 4Kinoshhita T, Kanehira E, Omura K, et al. Transanal endoscopic microsurgery in the treatment of rectal carcinoid tumor [ J ] . Surg Endosc, 2007, 21 ( 6 ) : 970-974.
  • 5Jetmnrre AB, Ray JE, Gathright JB, et al. Rectal carcinoids : the most frequent carcinoid tumor[ J ]. Dis Colon Rectum, 1992, 35( 8 ): 717-725.
  • 6Soga JJ. Carcinoids of the rectum : an evaluation of 1271 reported cases [ J ] . Surz Today, 1997, 27 ( 2 ) : 112-119.
  • 7Zhou PP, Yao L, He G, et al. Clinical application of uhrasonic prohing for preoperative staging of colorectal carcinoma [ J ] . Asian J Surg, 2003, 26 ( 1 ) : 13-16.
  • 8Ishii N, Horiki N, Itoh T, et al. Endoscopic submucosal dissection and preoperative assessment with endoscopic ultrasonography for the treatment of rectal carcinoid tumors[ J ]. Surg Endosc, 2010, 24( 6 ): 1413-1419.
  • 9Ferldfiich V, Bartsch DK. Surgical treatment of gastrointestinal neuroendocrine tumors[J ] . Langenhecks Arch Surg, 2011, 396 (3): 299-311.
  • 10Kon shi T, Watanabe T, Kishimoto J, et al. Prognusis and risk factors of metastasis in colorectal earcinoids : results of a nationwide registry over 15 years [ J ] . Gut, 2007, 56 ( 6 ) : 863-868.

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