Endoscopic dissection yekutanga pharyngeal tumors haingogone kudzikisa akasiyana-siyana ekuti maitiro ekuvhiya echinyakare angakonzeresa, asi zvakare zvinobudirira kupfupisa iyo postoperative kupora nguva.Munguva ichangopfuura, Dhipatimendi reGastroenterology paChipatara Chevanhu Chekutanga cheZhenjiang City rakagadzira endoscopic submucosal dissection (ESD) kekutanga, richirapa Mr. Zhou (zita remanyepo) ane bundu muzasi memuromoKuitwa kwakabudirira kwekuvhiya uku kwakawedzera kuwedzera huwandu hwekurapa kweESD.
Mukutanga kwaKurume gore rino, VaZhou vakawana intraepithelial neoplasia yerudzi rwepamusoro-soro panguva yekuongorora gastroscopy pachipatara cheFirst cheguta, chinova chirwere chemaronda ekare. VaZhou pavakaona chirwere ichi, vakasanganisa manzwiro nekuti yaive kechipiri mumakore angangosvika maviri kuti awane chirwere chegomarara kuburikidza negastroscopy. Muna 2022, pachipatara chimwe chete muguta, Yao Jun, director weDhipatimendi reGastroenterology, akawana sigmoid colon cancer, gastric mucosal maronda, uye atypical hyperplasia yesophageal mucosa.Nekuda kwekurapwa kwakakodzera kweESD, kuwedzera kuderera kwezvironda kwakanonoka.
The incidence rate of hypopharyngeal problems inowanikwa mukuongororazve uku haina kukwirira kuchipatara.Maererano nemaitiro echinyakare nzira yekurapa,kuvhiya ndiyo nzira huru,asi iyi nzira yekuvhiya ine simba guru pakumedza,kuburitsa inzwi uye kuravira kwevarwere.Kufunga izvozvo. vanhu vakuru vanosangana nezviratidzo zveESD senge mucosal bundu uye hapana lymph node metastasis, kubva pakuona kwemurwere, Yao Jun akafunga nezvekuti kurapa kushoma kweESD yemucosa kunogona kushandiswa.
Chii chinonzi ESD?
ESD ibundu resection kuvhiya kunoitwa kuburikidzagastroscopy or colonoscopyNezviridzwa zvakakosha zvekuvhiya.Kare, rainyanya kushandiswa kubvisa mapundu ari mucosal layer uye submucosal layer yemudumbu, matumbu, gurokuro, nedzimwe nzvimbo, pamwe nemapolyp akakura akafuratira munzvimbo idzi.Nekuda kwekuti midziyo yekuvhiyapinda muchimiro chechimiro chemuviri wemunhu pakuvhiyamaoparesheni,varwere vanowanzopora nekukurumidza mushure mekuvhiyiwa.
ESD matanho ekuvhiya:
Zvisinei,nzvimbo yekushanda nokuti pharyngeal oparesheni ishoma, ine chikamu chakafara chepamusoro uye chikamu chepasi chakamanikana, chakafanana nechimiro chefunnel. Kune zvakare matissue akakosha akadai secricoid cartilage akaitenderedza.Kana maoparesheni aitwa kune iri pedyo millimeter,ichakonzera matambudziko akasiyana-siyana akadai se laryngeal edema.Zvakare, hapana mabhuku akawanda epazasi pharyngeal ESD mukati uye kunze kwenyika, izvo zvinoreva kuti kuvhiya kwakabudirira kunowanikwa kune Yao Jun's referensi zvakare kwakaganhurirwa.Zvisinei, mumakore achangopfuura, gastroenterology dhipatimendi rechipatara chekutanga muguta. yakaunganidza huwandu hwakati wandei hwekuvhiya nehuwandu hwepagore ESD hwekuvhiya huwandu hwe700-800 kesi, izvo zvakagonesa Yao Jun kuunganidza yakakura chiitiko chekuvhiya. Mushure mekubvunzurudzwa nemaitiro akawanda akadai seotolaryngology, kuvhiyiwa kwemusoro nemutsipa, uye kuvhiyiwa kwese, akave akanyanya kuvimba mukushandiswa kweESD muminda mitsva.Rimwe zuva vapedza kuvhiyiwa, VaZhou vakakwanisa kudya pasina matambudziko akaita sekushomeka. Parizvino apora uye aburitswa muchipatara.
(China Jiangsu Net mutori wenhau Yang Ling, Tang Yuezhi, Zhu Yan)
Nguva yekutumira: Chivabvu-08-2024