| 利用隧道技术剥离食管长环周病变 |
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| 引用本文： | 令狐恩强,李惠凯,黄启阳,王向东,杜红,孟江云,孔金艳. 利用隧道技术剥离食管长环周病变[J]. 中华腔镜外科杂志(电子版), 2011, 4(5): 18-20. DOI: 10.3877/cma.j.issn.1674-6899.2011.05.008 |
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| 作者姓名： | 令狐恩强 李惠凯 黄启阳 王向东 杜红 孟江云 孔金艳 |
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| 作者单位： | 中国人民解放军总医院消化科,北京,100853 |
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| 摘 要： | 目的探讨利用隧道技术剥离食管长环周病变的可行性、安全性及疗效。方法回顾性分析利用隧道技术治疗的4例食管长环周病变患者（食管高级别瘤变或原位癌）的临床资料。4例患者均为男性,年龄56～69岁,平均65.5岁。结果 4例患者均成功利用隧道技术实现了病变的完整剥离,病变长度6～10cm,切除后活体创面上下缘距离为8～10cm,平均长度8.75cm。术中1例出现小动脉出血、1例出现小静脉出血,均经及时电凝止血,无1例患者发生术后出血。1例患者出现皮下积气、右侧气胸,经闭式引流后积气及气胸消失。术后4例患者均出现吞咽困难和食管狭窄,经球囊扩张治疗后均明显缓解。结论利用隧道技术能够安全、有效并且完整剥离食管长环周病变。
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| 关 键 词： | 隧道技术 环周病变 食管 高级别瘤变 |
Using tunnel technology dissecting long circumferencial lesions of esophagus |
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| LINGHU En-qiang,LI Hui-kai,HUANG Qi-yang,WANG Xiang-dong,DU Hong,MENG Jiang-yun,KONG Jin-yan. Using tunnel technology dissecting long circumferencial lesions of esophagus[J]. Chinese Journal of Laparoscopic Surgery ( Electronic Editon), 2011, 4(5): 18-20. DOI: 10.3877/cma.j.issn.1674-6899.2011.05.008 |
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| Authors: | LINGHU En-qiang LI Hui-kai HUANG Qi-yang WANG Xiang-dong DU Hong MENG Jiang-yun KONG Jin-yan |
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| Affiliation: | LINGHU En-qiang,LI Hui-kai,HUANG Qi-yang,WANG Xiang-dong,DU Hong,MENG Jiang-yun,KONG Jin-yan. Department of Gastroenterology,General Hospital of Chinese People's Liberation Army,Beijing 100853,China |
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| Abstract: | Objective To explore the feasibility,safety and efficacy of treating patients with long circumferential lesions by Tunnel Method. Methods Clinical data of 4 patients with long circumferential lesions treated by Tunnel Method in our digestive endoscopic center were retrospectively reviewed.:All 4 patients were male aging from 56 to 69 years old with an average of 65.5. Results The 4 patients were all treated successfully by Tunnel Method with lesions completely dissected.The length of lesions was from 6cm to... |
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| Keywords: | Tunnel Method Circumferential lesion Esophagus High grade neoplasia |
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