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目的 :探讨内镜对消化道粘膜下肿瘤的诊断与治疗价值。方法 :经内镜应用挖掘式活检、大块粘膜切除等结合病理组织学对疑诊粘膜下肿瘤 173例进行检查确诊 ,并采用高频电圈套切除法为主对其中的良性肿瘤进行内镜下治疗。结果 :确诊粘膜下肿瘤 12 1例 ,良性肿瘤 87例 ,经 1次治疗摘除 79例 ,2次治疗摘除 2例 ,3次以上治疗不能完全摘除 6例。单纯高频电圈套切除 6 2例 ,单纯皮圈套扎自行脱落 4例 ,皮圈或尼龙圈套扎后行高频电圈套切除 2 1例。未发生严重并发症。结论 :内镜活检结合病理组织学检查是检查确诊粘膜下肿瘤的主要手段 ,经内镜治疗粘膜下良性肿瘤对机体损伤小 ,并发症少
Objective: To investigate the value of endoscopic diagnosis and treatment of submucosal tumors of the digestive tract. Methods: Endoscopic biopsy, massive mucosal resection and other pathological histologies were used to diagnose 173 suspected submucosal tumors. High-frequency electric snare resection was used to perform benign tumors under endoscopy. treatment. Results: There were 121 cases of submucosal tumors and 87 cases of benign tumors. 79 cases were removed after 1 treatment, 2 cases were removed after 2 treatments, and 6 cases were not completely removed after 3 times of treatment. Simple high-frequency electric snare resection in 62 cases, pure arachnism ligating in 4 cases, apron or nylon coil ligation after high-frequency electric snare resection in 21 cases. No serious complications occurred. Conclusion :Endoscopic biopsy combined with histopathological examination is the main method for the diagnosis of submucosal tumors. Endoscopic treatment of submucosal benign tumors has less damage to the body and fewer complications.