I-Endoscopic dissection ye-pharyngeal tumors ayinakukwazi ukunciphisa kuphela i-sequelae ezahlukeneyo ezinokuthi zibangele iinkqubo zotyando lwendabuko, kodwa zinciphisa ngokufanelekileyo ixesha lokubuyisela emva kokuhlinzwa.Kutshanje, iSebe leGastroenterology kwiSibhedlele saBantu sokuQala kwisiXeko saseZhenjiang lenze ngokutsha i-endoscopic submucosal dissection (ESD) okokuqala, ukunyanga uMr.Zhou oneminyaka engama-70 (igama elingaziwa) ngethumba kwipharynx esezantsi.Ukuphunyezwa ngempumelelo kolu tyando kuye kwawandisa ngakumbi umda wonyango lwe-ESD.
Ekuqaleni kukaMatshi kulo nyaka, uMnu. Zhou wafumanisa i-intraepithelial neoplasia yomgangatho ophezulu we-pharynx ngexesha lokuphononongwa kwe-gastroscopy kwiSibhedlele sokuQala sesixeko, esisisifo sezilonda ze-precancerous. Xa uMnu. Ngo-2022, kwisibhedlele esinye esixekweni, uYao Jun, umlawuli weSebe leGastroenterology, wafumanisa isifo esinxulumene nomhlaza. izilonda zesisu sesisu, kunye ne-atypical hyperplasia ye-esophageal mucosa.Ngenxa yonyango lwe-ESD ngexesha, ukuwohloka okungaphezulu kwezilonda kuye kwabambezeleka.
Izinga leziganeko zeengxaki ze-hypopharyngeal ezifunyenwe kolu vavanyo kwakhona alukho phezulu kliniki.Ngokwendlela yonyango yendabuko, utyando lolona hlobo luphambili, kodwa le ndlela yokusebenza inempembelelo enkulu ekuginyeni, kwimveliso yelizwi kunye nomsebenzi wokungcamla wezigulane.Ukuqwalasela oko. Abantu abadala badibana nezalathiso ze-ESD ezifana nethumba lolwelwesi lwe-mucosal kwaye akukho metastasis ye-lymph node, ngokwembono yesigulana, u-Yao Jun wacinga malunga nokuba unyango lwe-ESD olungephi lunokusetyenziswa kwi-mucosa.
Yintoni ESD?
I-ESD lutyando lokususwa kwethumba olwenziwa ngalogastroscopy or colonoscopykunye nezixhobo zotyando ezikhethekileyo.Ngaphambili, yayisetyenziselwa ukususa amathumba kumaleko we-mucosal kunye ne-submucosal layer yesisu, amathumbu, umqala, kunye nezinye iindawo, kunye neepolyps ezinkulu ezithe tyaba kwezi ndawo.Ngenxa yokuba izixhobo zotyandongena kwi-lumen yendalo yomzimba womntu ukwenzela utyandoimisebenzi,izigulana zilulama ngokukhawuleza emva kotyando.
Amanyathelo otyando lwe-ESD:
Nangona kunjalo,indawo yokusebenza utyando lwepharyngeal luncinci, kunye nenxalenye ephezulu ebanzi kunye nenxalenye encinci esezantsi, efana ne-funnel shape. Kukho nezicubu ezibalulekileyo ezifana ne-cricoid cartilage ngeenxa zonke.iya kubangela iingxaki ezinzulu ezahlukeneyo ezifana ne-laryngeal edema.Ngaphezu koko, akukho luncwadi luninzi kwi-ESD ye-pharyngeal esezantsi ngaphakathi nangaphandle, okuthetha ukuba amava otyando aphumeleleyo akhoyo kwireferensi ye-Yao Jun nawo anqongophele. Nangona kunjalo, kwiminyaka yakutshanje, isebe le-gastroenterology yesibhedlele sokuqala esixekweni. Uqokelele isixa esikhulu samava otyando ngomthamo wotyando we-ESD wonyaka wama-700-800 amatyala, okwenze uYao Jun waqokelela amava otyando. Emva kokubonisana nezifundo ezininzi ezifana ne-otolaryngology, utyando lwentloko kunye nentamo, kunye nokuhlinzwa ngokubanzi, waba nentembelo ngakumbi ekusebenziseni i-ESD kwiinkalo ezintsha.Ngenye imini emva kotyando, uMr.Zhou wakwazi ukutya ngaphandle kweengxaki ezinje ngokurhabaxa. Uye wachacha ngoku uphumile esibhedlele.
(Intatheli yaseTshayina iJiangsu yeNet uYang Ling, uTang Yuezhi, uZhu Yan)
Ixesha lokuposa: May-08-2024