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61例直肠类癌患者内镜下治疗的回顾性分析
引用本文:高方美,孙朋,吴建林,向睿,徐慧玲,黄坤明. 61例直肠类癌患者内镜下治疗的回顾性分析[J]. 癌症进展, 2017, 15(9). DOI: 10.11877/j.issn.1672-1535.2017.15.09.32
作者姓名:高方美  孙朋  吴建林  向睿  徐慧玲  黄坤明
作者单位:淄博市中心医院消化内科,山东 淄博,2550360;淄博市中心医院消化内科,山东 淄博,2550360;淄博市中心医院消化内科,山东 淄博,2550360;淄博市中心医院消化内科,山东 淄博,2550360;淄博市中心医院消化内科,山东 淄博,2550360;淄博市中心医院消化内科,山东 淄博,2550360
摘    要:目的 评估直肠类癌患者行内镜下治疗的有效性及安全性.方法 回顾性分析61例直肠类癌患者的临床资料,对其内镜下治疗的切除率、并发症发生率及随访资料进行回顾性分析.结果 61例直肠类癌患者病理检测均达到治愈切除术标准,术后出血6例,无穿孔病例,均经药物治疗痊愈;术后中位随访时间为18个月,无复发及转移.结论 对于直径﹤1.5 cm、无转移、未侵及肌层的直肠类癌患者,行内镜下切除是一种安全、可靠的治疗方法.

关 键 词:直肠类癌  内镜下黏膜切除术  内镜下黏膜剥离术

A retrospective analysis of endoscopic therapy in 61 patients with rectal carcinoids
GAO Fangmei,SUN Peng,WU Jianlin,XIANG Rui,XU Huiling,HUANG Kunming. A retrospective analysis of endoscopic therapy in 61 patients with rectal carcinoids[J]. Oncology Progress, 2017, 15(9). DOI: 10.11877/j.issn.1672-1535.2017.15.09.32
Authors:GAO Fangmei  SUN Peng  WU Jianlin  XIANG Rui  XU Huiling  HUANG Kunming
Abstract:Objective To investigate the effectiveness and safety of endoscopic therapy on rectal carcinoids. Method The clinical data of 61 cases of patients with rectal carcinoids were retrospectively summarized for the resection rate, inci-dence of complications and follow-up data of endoscopic therapy. Result All of the 61 patients were curably resected based on histopathological test, 6 patients suffered from postoperative bleeding and revolved by medication, no patient suffered from perforation. The patients were followed up for a median of 18 months with no recurrence and metastasis. Conclusion Endoscopic therapy is safe and effective for patients with rectal carcinoid, which is less than 1.5 cm in diam-eter, with no metastasis and muscular invasion.
Keywords:rectal carcinoid  endoscopic mucosal resection  endoscopic submucosal dissection
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