内镜黏膜下剥离术(ESD)在消化道肿瘤治疗中应用的新进展

刘靖正(综述)姚礼庆△(审校)

复旦学报(医学版) ›› 2012, Vol. 39 ›› Issue (02) : 198-202.

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复旦学报(医学版) ›› 2012, Vol. 39 ›› Issue (02) : 198-202. DOI: 10.3969/j.issn.1672-8467.2012.02.018
综述

内镜黏膜下剥离术(ESD)在消化道肿瘤治疗中应用的新进展

  • 刘靖正(综述)姚礼庆△(审校)
作者信息 +

Advances in the treatment of gastrointestinal tumors by endoscopic submucosal dissection (ESD)

  • LIU Jing-zheng, YAO Li-qing△
Author information +
文章历史 +

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。

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.

关键词

消化道 / 肿瘤 / 内镜黏膜下剥离术(ESD)

Key words

gastrointestinal / tumor / endoscopic submucosal dissection (ESD)

引用本文

导出引用
刘靖正(综述)姚礼庆△(审校). 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(02): 198-202 https://doi.org/10.3969/j.issn.1672-8467.2012.02.018
LIU Jing-zheng;YAO Li-qing△. Advances in the treatment of gastrointestinal tumors by endoscopic submucosal dissection (ESD)[J]. Fudan University Journal of Medical Sciences, 2012, 39(02): 198-202 https://doi.org/10.3969/j.issn.1672-8467.2012.02.018
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