从黏膜到浆膜，消化内镜切除术的进展

陈磊

doi:10.16016/j.1000-5404.201906108

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从黏膜到浆膜，消化内镜切除术的进展

专家述评 | 更新时间：2026-01-09

- 从黏膜到浆膜，消化内镜切除术的进展
- Advance of gastrointestnal endoscopic resection: from mucosa to serosa
- 第三军医大学学报 2019年41卷第19期页码：1885-1889
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院全军消化病研究所
- 作者简介：
  
  [陈磊，副主任医师，副教授，硕士生导师。担任中华医学会消化内镜分会青年委员，中华医学会消化内镜分会NOTES学组委员，中国医师协会内镜分会委员，中国中西医结合学会消化内镜分会委员，重庆市医学会消化内镜分会副主任委员。承担国家自然科学基金2项，重庆市课题4项，获军队医疗成果二等奖1项。主编专著2部，副主编专著4部，发表论文30余篇，其中被SCI收录11篇。主要从事消化道肿瘤早期诊治的临床和基础方面的研究。E-mail:chenlei1977603@163.comCHEN Lei, E-mail:chenlei1977603@163.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201906108
  中图分类号： R57;R735
- 收稿：2019-06-17，
  
  修回：2019-06-29，
  
  纸质出版：2019-10-15
- 稿件说明：
移动端阅览
陈磊. 从黏膜到浆膜，消化内镜切除术的进展[J]. 第三军医大学学报, 2019,41(19):1885-1889.

Lei CHEN. Advance of gastrointestnal endoscopic resection: from mucosa to serosa[J]. Journal of Third Military Medical University, 2019, 41(19): 1885-1889.
陈磊. 从黏膜到浆膜，消化内镜切除术的进展[J]. 第三军医大学学报, 2019,41(19):1885-1889. DOI： 10.16016/j.1000-5404.201906108.

Lei CHEN. Advance of gastrointestnal endoscopic resection: from mucosa to serosa[J]. Journal of Third Military Medical University, 2019, 41(19): 1885-1889. DOI： 10.16016/j.1000-5404.201906108.

摘要

近年来，消化内镜技术的飞速发展给内镜下治疗带来了革命性的改变。尤其是内镜切除的范围已经由内向外从黏膜层、黏膜下层过渡到固有肌层，甚至突破浆膜层到达腹膜腔内，相应的内镜治疗技术也从黏膜切除术、黏膜剥离术、黏膜下隧道内镜技术、全层切除术衍生到经自然腔道内镜手术。黏膜外科和浆膜外科已经完美融合，消化内镜医生部分取代了外科医生的工作。中国和日本内镜专家在此方面做出了巨大贡献，大大扩展了内镜切除的适应证。现对内镜切除新技术及其相应适应证进行总结，以期指导临床。

Abstract

In recent years

the rapid development of digestive endoscopy technology has brought revolutionary changes to endoscopic treatment. Especially

the extent of endoscopic resection has gone through the leap of mucosal layer

submucosal layer

muscular layer and extraserosal lesions from inside to outside

and the corresponding treatment technology is from endoscopic mucosal resection

endoscopic submucosal dissection

submucosal tunnelling endoscopic resection

endoscopic full-thickness resection to new natural orifice transluminal endoscopic surgery. Mucosal surgery and serosal surgery have been fused together

and digestive endoscopists have done part of surgeon's work. Chinese and Japanese endoscopists have made great contribution and greatly promoted these endoscopic techniques

thus

the indications of endoscopic resection have been extended. In this review

we summarized the indications of these new methods in hope of guiding clinical practice.

关键词

Keywords

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