26例早期胃癌的内镜下诊断及治疗分析  

Endoscopic diagnosis and treatment of 26 cases of early gastric cancer

作　　者：刘芳[1] 郑勇[1] 黎永军[1] 阮开学[1] 陈卫刚[1] 

机构地区：[1]石河子大学医学院第一附属医院消化内科,新疆石河子832000

出　　处：《胃肠病学和肝病学杂志》2013年第7期653-656,共4页Chinese Journal of Gastroenterology and Hepatology

基　　金：国家科技支撑计划(2009BA18205)

摘　　要：目的分析早期胃癌的内镜下诊断及治疗经验。方法对2010年1月-2012年8月我院发现的26例早期胃癌患者的资料回顾性总结和分析,均行普通胃镜下扫查、病灶区NBI染色、美兰染色,直视下活检确诊,以超声胃镜判断病灶浸润深度,选择EMR和ESD进行内镜下治疗。结果 26例患者,男女比例为1.89∶1,55岁以上占69.2%,部位以胃窦部好发,腺癌合并高级别上皮内瘤变多见,胃镜分型以Ⅱc+Ⅲtype最多(69.2%),NBI加美兰染色后均不同程度染色异常。超声内镜均见黏膜层不同程度增厚。EMR、ESD治疗后,完全清除者占96.2%。结论认真仔细操作规范及应用多种检查技术可提高早期胃癌检出率,推广内镜下早期胃癌治疗技术安全、有效。Objective To analyze the endoscopic diagnosis and treatment experience of early gastric cancer. Methods 26 cases of early gastric cancer were summaried and analyzed retrospectively from Jan. 2010 to Aug. 2012. Ordinary gastroscope, NBI dyeing on lesion area, MEILAN dyeing, ultrasonic gastroscope were used to judge the lesions infiltration depth; at last, the EMR and ESD were used to endoscopic treatment. Results For 26 cases, male： female was 1.89： 1, patients over 55 years old accounted for 69.2%. Gastric antrum was the common disease region; it was easier to see intraepithelial neoplasia on gland cancer. II c ＋ type III was the most （69.2%） sort of gastroscope. Staining abnormal was found after NBI and MEILAN dyeing. Under the endoscopic uhrasonography, the mucosa became thick by different degree. After treatment of EMR and ESD, 96.2% patients were completely cured. Conclusion The detectable rate of early gastric cancer could be found with various inspection technique and carefullyoperation. The endo- scopic treatment for early gastric cancer is a safe and effective way.

关 键 词：早期胃癌 内窥镜检查 内镜下黏膜切除术 内镜下黏膜剥离术 

分 类 号：R735.2[医药卫生—肿瘤]