用曲线回声内镜辅助的直肠下瘤的内镜下层挖掘
Yu Tang1, Xiaoling Zhou2, Zhengyu Cheng1
1Gastroenterology, People's Hospital of Leshan, China.
Revista espanola de enfermedades digestivas
|August 4, 2023
概括
内镜下粘膜挖掘 (ESE) 对于来自肌肉本身 (MP) 的直肠下粘膜质量具有挑战性. 一种使用活检作为基准的新技术使得精确的边缘识别和成功切除成为可能.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 在直肠中的下粘膜突起可能是具有挑战性的切除.
- 准确的边缘识别对于完全去除瘤至关重要.
研究的目的:
- 描述一种新的技术,用于精确的边缘识别,在内镜下粘膜挖掘 (ESE) 的直肠下粘膜质量源自肌肉本身 (MP).
主要方法:
- 一名62岁的女性患有直肠下粘膜质量,接受了ESE.
- 用曲线回声内镜进行评估.
- 活检被用作边缘可视化的移动地标.
- 在确定的边缘进行了MP的切口,以便进行精确的切除.
主要成果:
- 粘膜下质量是低声的,起源于MP.
- 由于病变定义差,最初的ESE很困难.
- 活检片的地标有助于清晰可视化损伤边缘.
- 在MP切口后,实现了质量的精确切除.
结论:
- 使用活检作为基准可以提高ESE期间的精度,用于来自MP的直肠下质群体.
- 这种技术有助于克服与定义不良的病变相关的挑战.
- 它允许准确的边缘识别和成功的块切除.
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