内镜下治疗消化道早期肿瘤临床疗效和安全性研究  

作　　者：苏正活 江秀珠 钟健清 

机构地区：[1]阳江市中医医院消化内科,广东529500

出　　处：《当代医学》2014年第15期57-58,共2页Contemporary Medicine

摘　　要：目的探讨内镜下治疗消化道早期肿瘤的临床效果和安全性。方法选取46例早期肿瘤患者,随机分为2组。观察组25例,使用内镜粘膜切除术或者内镜粘膜剥离术治疗,对照组21例,使用常规外科手术方式治疗,观察比较2组治疗效果。结果观察组平均手术时间以及出血量均低于对照组,组间对比差异具有统计学意义(P<0.05);随访结果显示,观察组病灶残留3例,对照组病灶残留9例,2组患者病灶残留率对比差异具有统计学意义(P<0.05);观察组随访期间复发1例,对照组复发7例,2组患者复发率对比差异具有统计学意义(P<0.05)。结论内镜下治疗消化道早期肿瘤具有安全高效的优势,极具临床推广应用价值。Objective To explore the clinical effect of endoscopic treatment early gastrointestinal tumors, and security. Methods Selection of 46 patients with early tumor, were randomLy divided into two groups. Observation group 25 cases, the use of endoscopic mucosal resection or endoscopic mucosal stripping treatment, control group 21 cases, using conventional surgical treatment, compare two groups of therapeutic effect. Results The average operation time and blood loss observation group were lower than the control group, comparing differences between groups with statistical significance （P〈0.05）;Follow-up, according to the results of observation group lesions residue in 3 cases, the control residual lesions 9 cases, two groups of patients with lesions residue rate comparison differences statistically significant （P〈0.05）; Observation group 1 case of recurrence during the follow-up period, 7 cases of control group recurrence, two groups of patients with recurrence compared differences statistically significant （P〈0.05）. Conclusion Early endoscopic treatment of gastrointestinal tumor has the advantages of safe and effective clinical application and dissemination value.

关 键 词：早期肿瘤 内镜粘膜切除术 内镜粘膜剥离术 

分 类 号：R735[医药卫生—肿瘤]