Kết quả bước đầu điều trị u dưới niêm mạc ở đường tiêu hóa bằng kỹ thuật nội soi cắt u qua đường hầm dưới niêm mạc

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Vĩnh Phúc La, Văn Lình Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học lâm sàng Bệnh viện Trung ương Huế, 2024

Mô tả vật lý: tr.98-102

Bộ sưu tập: Báo, Tạp chí

ID: 372088

Thêm vào giỏ Liên kết toàn văn

Background: Submucosal tumor (SMT) is defned as any lesion that develops below the mucosal or muscularispropria of the gastrointestinal tract wall. Submucosal tunneling endoscopic resection (STER) is a new method that cannow be performed without the support of laparoscopy, many studies have demonstrated the safety and eﬀectivenessof this method in the treatment of gastrointestinal submucosal tumor.Methods: A retrospective descriptive study on patients with gastrointestinal submucosal tumor treated bysubmucosal tunneling endoscopic resection at the Hospital of Can Tho University of Medicine and Pharmacy from2020 to 2023.Results: 23 patients (M:F 15:8) with mean age 51,35 ± 15,86 years old underwent STER. 6 tumors located atesophagus, 1 tumors located at rectum, all the remains tumors were in the stomach with the mean tumor size 14,7 ± 7,41mm. Mean procedure time was 81,59 ± 50,32 minutes. VAS score were 0,27 ± 0,46. No perioperative complication.Mean length of stay in hospital was 5,36 ± 3,13 days. Mean postoperative length of stay was 3,64 ± 2,59 days.Conclusions: STER is an eﬀective and relatively safe technique in the treatment of gastrointestinal submucosaltumor. Further studies are necessary to evaluate the results of these techniques.Đặt vấn đề: U dưới niêm mạc - Submucosal Tumor (SMT) được định nghĩa là bất kỳ tổn thương nào phát triểnbên dưới lớp niêm hay lớp cơ của thành ống tiêu hóa. Nội soi cắt u qua đường hầm dưới niêm mạc - SubmucosalTunneling Endoscopy Resection (STER) là phương pháp mới hiện nay có thể được thực hiện mà không cần sự hỗ trợcủa nội soi ổ bụng, nhiều nghiên cứu đã chứng minh tính an toàn và hiệu quả của phương pháp này trong điều trị udưới niêm đường tiêu hóa.Đối tượng, phương pháp: Nghiên cứu mô tả hồi cứu các bệnh nhân được chẩn đoán u dưới niêm mạc đường tiêuhóa được thực hiện kỹ thuật STER tại Bệnh viện Trường Đại học Y Dược Cần Thơ từ năm 2020 - 2023.Kết quả: 23 bệnh nhân (nam: nữ 15:8) với độ tuổi trung bình 51,35 ± 15,86 được thực hiện STER. 6 khối u nằm ởthực quản, 1 u nằm ở trực tràng, các khối u còn lại nằm ở dạ dày. Kích thước khối u trung bình 14,7 ± 7,41 mm. Thờigian thực hiện STER trung bình là 81,59 ± 50,32 phút. Điểm VAS là 0,27 ± 0,46. Không có biến chứng chu phẫu. Thờigian nằm viện trung bình là 5,36 ± 3,13 ngày. Thời gian nằm viện sau mổ trung bình là 3,64 ± 2,59 ngày.Kết luận: STER là kỹ thuật hiệu quả và an toàn trong điều trị tổn thương u dưới niêm mạc đường tiêu hóa. Cácnghiên cứu sâu hơn là cần thiết để đánh giá kết quả của kỹ thuật này

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