早期胃癌的规范化内镜诊断及治疗  

Standardization of the endoscopic diagnosis and treatment for early gastric cancer

作　　者：周平红[1,2] 陈巍峰[1,2] 何梦江[1,2] 

机构地区：[1]复旦大学附属中山医院内镜中心 [2]复旦大学内镜诊疗研究所 上海市内镜诊疗工程研究中心,上海200032

出　　处：《中国实用外科杂志》2014年第7期604-607,共4页Chinese Journal of Practical Surgery

摘　　要：目前,提高早期胃癌诊断率是改善我国胃癌治疗现状的有效方法之一。白光胃镜仍是筛查早期胃癌的最主要方法,医师对早期胃癌的警惕意识和规范化的检查流程十分关键。结合染色内镜、放大内镜、窄带成像等一系列新内镜诊断技术,可提高早期胃癌的诊断率。内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)因其创伤小及治愈性切除疗效确切,现已成为早期胃癌治疗中的重要组成部分,随着该技术在全国范围内的推广,规范ESD在早期胃癌治疗中的应用迫在眉睫。Improving the diagnosis of early gastric cancer is a key point to refine the therapeutic effect of gastric cancer.White light endoscopy remains the main method to screen early gastric cancer. Being on high alter for the detection of suspect lesion and standardization of the examination procedure are important. The emerging diagnostic techniques such as chromoendoscopy, magnifying endoscopy,narrow-band imaging, etc. also do help. Endoscopic submucosal dissection has become a considerable option in gastric cancer treatment for its micro-invasion and curative resection. With its population nationwide, criterion for its application becomes significant.

关 键 词：胃癌 内镜 内镜黏膜下剥离术 

分 类 号：R6[医药卫生—外科学]