查詢結果分析
來源資料
相關文獻
- Endoscopic Mucosal Resection Using a Pure Cut and Hemoclip Method for Colonic Nonpolypoid Neoplasms
- 大腸鏡水下內視鏡黏膜切除術之新進展
- 20-MHz Ultrasonic Probe to Identify Early Gastric Cancer Suitable for Endoscopic Mucosal Resection
- Endoscopic Mucosal Resection for Treatment of Heterotopic Pancreas in the Stomach
- Endoscopic Treatment of Gastric Perforation after Mucosectomy: Report of a Case
- 內視鏡黏膜切除術
- Familial Juvenile Polyposis Coli: A Case Report
- Magnifying Endoscopy with Indigo Carmine Contrast for the Differential Diagnosis of Adenomatous and Hyperplastic Colonic Polyps
- Endoscopic Mucosal Resection with a Cap-Fitted Endoscope for Early Gastric Carcinoma with Focal Submucosal Invasion in a Patient with Decompensated Liver Cirrhosis
- Endoscopic Hemoclip Treatment of Gastrointestinal Bleeding
頁籤選單縮合
題 名 | Endoscopic Mucosal Resection Using a Pure Cut and Hemoclip Method for Colonic Nonpolypoid Neoplasms=應用純電切與止血夾內視鏡黏膜切除術於大腸非息肉型腫瘤 |
---|---|
作 者 | 許振銘; 何玉彬; 連昭明; 蘇銘堯; 邱正堂; 陳邦基; 黃秀芬; | 書刊名 | 長庚醫學 |
卷 期 | 26:8 2003.08[民92.08] |
頁 次 | 頁586-591 |
分類號 | 416.245 |
關鍵詞 | 內視鏡黏膜切除術; 純電切; 止血夾; 大腸息肉; Endoscopic mucosal resection; Cutting current; Hemoclip; Colonic polyp; |
語 文 | 英文(English) |
中文摘要 | 背景:大腸黏膜腫瘤病灶型態上可分成息肉型與非息肉型。非息肉型比德肉型腫瘤有更高惡性機會。因此於大腸鏡檢時將此類病灶切除並取得完整檢體以供病理組織學檢查是重要的。本研究目的,在於評估應用純電切與止血夾內視鏡黏膜切除術於非息肉型腫瘤的安全性與保持檢體的完整性。 方法:2001年4月至2002年4月,共有14例大腸非息肉型腫瘤應用純電切與止血夾方法切除。其中有9;立男性與4位女性,平均年齡57.8±15.5歲。當非息肉型病灶以放大鏡式大腸鏡與靛洋紅染色法診斷的為腫瘤時,則施以內視鏡黏膜切除術治療。 結果:本研究中有11例扁平型腫瘤與3例橫向蔓延型腫瘤。病灶大小平均10.7±5.6公釐。病灶皆完全切除。病理組織學上有1例腺癌與13例腺瘤(3例合併有輕度化生不良,7例合併有中度化生不良,3例合併有重度化不良)。平均每一病灶使用2.14±0.66支止血夾(1至3支)。14例皆無術後出血或穿孔的併發產生。 結論:應用純電切與止血夾內視鏡黏膜切除術是一可得到完整檢體以病理正確評估的好方法。對於大腸非息肉型腫瘤,此方法提供一安全且低侵襲性的治療方式。 |
英文摘要 | Backgorund: Colonic mucosal neoplastic lesions can be classified morphologically into polypoid and nonpolypoid types. The nonpolypoid type has a greater malignancy potential than does the polypoid type. Removing these lesions and obtaining and integral specimen for histopathologic assessment during colonoscopy are very important. This study evaluates that safety and integrity of specimens obtained by endoscopic mucosal resection (EMR) using the pure cut current and hemoclip method. Methods: /fourteen nonpolypod colonic neoplasms, which were removed by EMR using the pure cut and hemoclip method between April 2001 and April 2002, were studied. There were 9 male and 4 female patients and the mean age was 57.8±15.5(range, 32-80) years. EMR was conducted in cases where the lesions were diagnosed as neoplastic tumors by magnification colonoscopy and the indigo carmine dye spray method. Results: The study revealed 11 flat type neoplasms and 3 laterally spreading tumonrs. The mean size of the lesions was 10.7±5.6(range, 6-25) mm. all lesions were completely removed. Hsitopathologically, there were 1 ademocarcinoma and 13 adenomas (3 wuith mild dysplasia, 7 with moderate dysplasia, and 3 with severe dysplasia). The mean number of hemoclips used was 2.14±0.66(ring, 1-3) pieces. No bleeding or perforation was noted following EMR. Conclusions: EMR using the pure cut and hemoclip method is a useful means of obtaining an integral speciment for accurate pathologic assessment. This method provides a safe and minimally invasive technique for managing colonic nonpolypoid lesions. |
本系統中英文摘要資訊取自各篇刊載內容。