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目的探讨小探头超声辅助下经双通道内镜食管黏膜下肿瘤剥除术的临床应用价值。方法 1999年1月至2005年5月,选择内镜超声检查诊断为食管黏膜下肿瘤的84例在小探头超声辅助下经双通道内镜行食管黏膜下肿瘤剥除术,术后常规病理组织送检。结果 84例患者均成功行内镜下剥除,术后无食管穿孔、食管狭窄等严重并发症,创面渗血2例(2.3%)。83例获得病理诊断,确诊食管间质瘤65例,脂肪瘤17例,神经纤维瘤1例。术后经平均4.1个月的内镜随访,未见病变再发。结论小探头超声辅助下双通道内镜食管黏膜下肿瘤剥除术是一种安全、有效、简便的治疗方法。
Objective To investigate the clinical value of ultrasound-assisted small-head ultrasound-assisted submucosal esophagectomy with double-channel endoscopic esophageal submucosal tumor stripping. Methods From January 1999 to May 2005, 84 cases of esophageal submucosal tumors diagnosed as endoscopic ultrasonography were treated with ultrasound-assisted small-probe ultrasound-assisted submucosal esophagectomy via esophagectomy. Conventional pathology Sent. Results All the 84 patients were successfully removed by endoscopy. There was no serious complications such as esophageal perforation and esophageal stenosis. There were 2 cases (2.3%) of wound bleeding. 83 cases were pathologically diagnosed, 65 cases of esophageal stromal tumors were confirmed, 17 cases of lipoma and 1 case of neurofibroma. After an average of 4.1 months of endoscopic follow-up, no recurrence of lesions. Conclusion The small probe ultrasound assisted dual-channel endoscopic esophageal submucosal tumor stripping is a safe, effective and easy treatment.