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目的:探讨内镜下吸引结扎法治疗上消化道黏膜下肿瘤(submucosal tumors,SMT)的临床价值。方法:47例上消化道SMT患者采用内镜下透明帽吸引结扎方法治疗。结果:47例患者经治疗后,能成功阻断肿瘤的血液供应使其自行脱落,术后4周手术部位疤痕愈合。病理报告示食管平滑肌瘤37例,胃平滑肌瘤5例,黏膜下间叶源性肿瘤4例,脂肪瘤1例。结论:吸引结扎法能阻断血流使肿瘤坏死脱落,是一种治疗上消化道SMT安全有效的内镜治疗方法。
Objective: To investigate the clinical value of endoscopic suction ligation in the treatment of submucosal tumors (SMT). Methods: 47 cases of upper gastrointestinal SMT patients with endoscopic transparent cap ligation method of treatment. Results: After treatment, 47 patients could successfully block the blood supply of the tumor and let it fall off spontaneously. The scars of the surgical site healed after 4 weeks. Pathological reports showed 37 cases of esophageal leiomyoma, 5 cases of gastric leiomyoma, 4 cases of submucosal mesenchymal tumors, and 1 lipoma. Conclusion: Ligation method can block the flow of blood to tumor necrosis, is a safe and effective treatment of upper gastrointestinal SMT endoscopic treatment.