摘要
目的评价内镜超声引导下无水乙醇消融术（EUS-EA）治疗胰腺囊性肿瘤的可行性、安全性及有效性。方法回顾性分析2013年7月至2017年4月在上海长海医院接受EUS-EA的10例胰腺囊性肿瘤患者的基本信息、EUS特征、术后并发症、随访情况等资料。根据术后随访的影像学资料评估EUS-EA疗效。结果10例患者瘤体最长径平均为（2.95±1.56）cm，囊液分析结果显示6例浆液性囊腺瘤，3例黏液性囊腺瘤，1例未定型囊腺瘤。10例患者共行12次EUS-EA，手术均成功，未出现有临床意义的感染、胰腺炎、出血、胰瘘等严重并发症。术后中位随访时间4.0个月（3.0-12.0个月），3例完全缓解，6例部分缓解，1例病变稳定，无进展病例。结论EUS-EA治疗胰腺囊性肿瘤手术成功率高、并发症少、总体疗效较好。
ObjectiveTo evaluate technical feasibility, safety and efficacy of endoscopic ultrasound-guided ethanol ablation （EUS-EA） for pancreatic cystic neoplasms （PCNs）.MethodsClinical data of 10 patients with PCNs in Changhai Hospital from July 2013 to April 2017, including demographic information, EUS features, adverse events and follow-up data, were retrospectively studied. Efficacy was assessed according to imaging data.ResultsThe mean largest diameter of the cyst was 2.95±1.56 cm. Cyst fluid analysis showed that there were 6 serous cystic neoplasms, 3 mucinous cystic neoplasms, and 1 indeterminate cyst. Totally 12 operations were performed successfully. No infection, pancreatitis, bleeding, pancreatic fistula or other severe complications with clinical significance occurred. The median follow-up time was 4.0 months （3.0-12.0 months）. Three patients achieved complete resolution, 6 achieved partial resolution, 1 was stable disease, and no patient showed progressive tumor.ConclusionEUS-EA for PCNs has high operation success rate, less complication and satisfactory overall efficacy.
作者
孙力祺
蒋斐
金震东
Sun Liqi, Jiang Fei, Jin Zhendong(Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, Chin)
出处
《中华消化内镜杂志》
CSCD
北大核心
2018年第5期305-308,共4页
Chinese Journal of Digestive Endoscopy
基金
上海市科学技术委员会科研计划项目（16441906902）
关键词
胰腺肿瘤
内镜超声检查
乙醇
消融术
Pancreatic neoplasms
Endoscopic ultrasonography
Ethanol
Ablation
