内镜黏膜下剥离术治疗食管早癌及癌前期病变  

Treatment of early esophageal cancer and precancerous lesions based on endoscopic submucosal dissection

作　　者：王业涛[1] 张明黎[1] 张开光[1] 宋继中[1] 叶飞[1] 王巧民[1] 

机构地区：[1]安徽医科大学附属省立医院消化内科,合肥230001

出　　处：《安徽医科大学学报》2016年第1期137-139,共3页Acta Universitatis Medicinalis Anhui

基　　金：安徽省卫生厅医学科学研究计划重点项目(编号:2010A007)

摘　　要：采用内镜黏膜下剥离术(ESD)治疗食管早癌及癌前期病变的患者65例,其中64例成功切除,1例发生穿孔,60例整块切除,58例完整切除。术中发现卫星灶16例,术后病理较术前病理明显进展20例,其中发现早癌8例,术后狭窄4例。ESD是治疗食管早癌及癌前期病变的微创、较安全、有效的治疗方法,而且能获得准确的病理资料,可更好地评估病情。This paper analyzed 65 cases of early esophageal carcinoma and precancerous lesion retrospectively based on endoscopic submucosal dissection（ESD）. There were 64 cases whose esophagus cancer was removed suc- cessfully. One ease was perforated, 60 cases were removed en bloc, and 58 cases were completely excised. 16 ca- ses of satellite nodule were found during operation, and 20 cases had obvious postoperative pathological improve- ment. Among them, 8 cases were diagnosed with early cancer, and 4 cases were diagnosed with postoperative ste- nosis. ESD is not only a safe and effective method of minimally invasive treatment, but also may gain accurate path- ological data in order to assess the illness.

关 键 词：食管早癌 食管癌前期病变 内镜黏膜下剥离术 卫星灶 

分 类 号：R735.1[医药卫生—肿瘤]