| 内镜黏膜下剥离术(ESD)在消化道肿瘤治疗中应用的新进展 |
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| 引用本文： | 刘靖正. 内镜黏膜下剥离术(ESD)在消化道肿瘤治疗中应用的新进展[J]. 复旦学报(医学版), 2012, 39(2): 198-202. DOI: 10.3969/j.issn.1672-8467.2012.02.018 |
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| 作者姓名： | 刘靖正 |
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| 作者单位： | 复旦大学附属中山医院内镜中心 上海 200032 |
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| 摘 要： | 内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)在消化道肿瘤的治疗中发挥着重要作用,应用ESD能一次性完整切除较大的病变组织,提供完整的病理诊断资料,术后随访也证明了其优越性。目前国内应用ESD治疗消化道肿瘤的临床报告呈逐年递增趋势。ESD的手术操作分为标记、抬起、切缘、剥离和创面处理等五步,出血和穿孔是治疗中最常见的并发症。本文就ESD应用于消化道肿瘤治疗的适应证和禁忌证、手术步骤和注意事项、并发症及其处理、技术评价等内容作一综述。
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| 关 键 词： | 消化道 肿瘤 内镜黏膜下剥离术(ESD) |
Advances in the treatment of gastrointestinal tumors by endoscopic submucosal dissection(ESD) |
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| LIU Jing-zheng. Advances in the treatment of gastrointestinal tumors by endoscopic submucosal dissection(ESD)[J]. Fudan University Journal of Medical Sciences, 2012, 39(2): 198-202. DOI: 10.3969/j.issn.1672-8467.2012.02.018 |
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| Authors: | LIU Jing-zheng |
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| Affiliation: | Endoscopy Center,Zhongshan Hospital,Fudan University,Shanghai 200032,China |
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| Abstract: | Endoscopic submucosal dissection(ESD) plays an important role in the treatment of gastrointestinal tumors.It is possible to completely resect submucosal lesions and provide sufficient pathological information,postoperative follow-up have proved its superiority.Now it has been widely used for the treatment of gastrointestinal tumor.ESD operation consists of marking,injection to elevate the lesion,pre-cutting,dissecting and wound processing.Bleeding and perforation were the most frequent complications.This review describes current advances in the treatment of gastrointestinal tumors by ESD. |
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| Keywords: | gastrointestinal tumor endoscopic submucosal dissection(ESD) |
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