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胃黏膜下肿瘤内镜治疗新试验

New trial of endoscopic treatment for gastric submucosal tumors.

作者信息

Asaki S, Nishimura T, Ohara S, Sato A, Shibuya D, Kanazawa N, Goto Y

出版信息

Tohoku J Exp Med. 1985 Feb;145(2):149-59. doi: 10.1620/tjem.145.149.

Abstract

Recently conservative treatment of gastric submucosal tumors is increasing in spite of the absence of definite criteria for histological diagnosis. We have developed a new method of endoscopical treatment of gastric submucosal tumors that have submucosographically intraluminal Pattern I or II, or partly intramural Pattern III. For such tumors with a maximum diameter less than 5 cm, Ist step: partial resection is carried out with the use of high-frequency electric currents, IInd step: for the residual tumor tissue, in vivo tissue solidification is undertaken by local injection of absolute ethanol to induce necrotic exfoliation of the tumor tissue and to prevent of hemorrhage.

摘要

近来,尽管缺乏明确的组织学诊断标准,但胃黏膜下肿瘤的保守治疗仍在增加。我们已经开发出一种新的内镜治疗方法,用于治疗具有黏膜下腔内I型或II型,或部分壁内III型的胃黏膜下肿瘤。对于最大直径小于5cm的此类肿瘤,第一步:使用高频电流进行部分切除;第二步:对于残留的肿瘤组织,通过局部注射无水乙醇进行体内组织凝固,以诱导肿瘤组织坏死脱落并防止出血。

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