| 内镜下黏膜切除治疗大肠肿瘤 |
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| 引用本文： | 李雨静,齐玲芝,苑坤,刘泳,刘聪,孙巍.内镜下黏膜切除治疗大肠肿瘤[J].吉林医学,2009,30(13):1219-1221. |
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| 作者姓名： | 李雨静 齐玲芝 苑坤 刘泳 刘聪 孙巍 |
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| 作者单位： | 吉林省人民医院消化内科,吉林长春130021 |
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| 摘 要： | 目的：探讨内镜下黏膜切除术对大肠无蒂大息肉和平坦型病变的治疗价值。方法：采用结肠镜下大肠黏膜切除术治疗72例92个大肠病变。采用病灶黏膜下注射肾上腺素生理盐水后,一次圈套切除（EMR）、分次圈套切除（EPMR）和透明帽辅助黏膜切除法（Cap-EMR）切除病变,回收全部标本送病理检查,术后结肠镜随访。结果：72例患者一次性成功切除病变89个,3例患者各残留1个病变,其中2例再次行EMR,1例行APC氩气凝固灼除。12个月后复查未发现复发病例。术后病理结果：腺瘤71个,其中伴有上皮内瘤变的29个,增生性息肉13个,直肠类癌3个,黏膜内癌变5个,其中2例为SM2癌,行外科手术治疗。12个月后复查未发现复发病例。术中、术后无穿孔病例,术后出血5例。结论：EMR是治疗大肠癌前病变和黏膜内癌简单、安全、有效的方法,可以向基层医院推广。
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| 关 键 词： | 结肠镜 黏膜 大肠肿瘤 |
Endoscopic mucosal resection for the treatment of colorectal tumors |
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| LI Yu-jing,QI Ling-zhi,YUAN Kun,et al.Endoscopic mucosal resection for the treatment of colorectal tumors[J].Jilin Medical Journal,2009,30(13):1219-1221. |
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| Authors: | LI Yu-jing QI Ling-zhi YUAN Kun |
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| Institution: | LI Yu-jing,QI Ling-zhi,YUAN Kun,et al(Department of Gastroenterology,the People's Hospital of Jilin Province,Changchun 130021,China) |
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| Abstract: | Objective To evaluate the outcome of eodoscopic mucosal resection(EMR) on colorectal large sessile polyps and flat-type lesions.Method Total 72 patients with 92 lesions received the treatment of EMR.After submucosal injection of epinephrine,the lesions were treated by EMR,EPMR AND Cap-EMR.All resected specimens were retrieved for pathologic study.Follow-up colonoscopy was performed on all patients after EMR.Results For 89 lesions of 69 patients were removed completely.Each of the rest 3 patients had one les... |
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| Keywords: | Endoscopic mucosal resection Colonic polyps Adenoma |
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