多环黏膜切除术治疗早期食管癌及癌前病变的临床分析  

Polycyclic Mucosal Resection in the trecitment of Early Esophageal Cancer and Precancerous Lesions

作　　者：杨炜琳[1] 陈进忠[1] 刘明[1] 苏虹[1] 李秀梅[1] 

机构地区：[1]厦门大学附属第一医院内镜中心,福建厦门361001

出　　处：《中外医疗》2016年第31期14-16,共3页China & Foreign Medical Treatment

摘　　要：目的探讨多环黏膜切除术治疗早期食管癌及癌前病变的临床疗效。方法该文方便选取了该院2011年1月—2013年12月间入院经过多环黏膜切除术治疗的45例早期食管癌及癌前病变患者为研究对象,针对治疗效果进行了分析及随访。结果 45例患者全部成功进行病灶切除。鳞状细胞上皮中度不典型增生4例,鳞状细胞上皮重度不典型增生30例,原位癌6例,黏膜内癌5例。术后出血1例,占2.2%,经胃镜下止血成功;术后出现食管狭窄2例,占4.4%,经胃镜下扩张术后狭窄得到缓解;3例出现复发及残留,复发残留率6.7%。结论多环粘膜切除术是治疗早期食管癌及癌前病变简单、有效的方法。Objective The Clinical therapeutic efficacy of endoscopic multiband mucosectomy（MBM） for early esophageal cancer and precancerous lesions was evaluated after treatment. Methods Convenient selection from January 2011 to December 2013,45 patients were treated with MBM in the hospital. Observation was conducted on the therapeutic efficacy and the complication of MBM. Results Lesions were resected successfully for all the 45 cases.There are 4 moderate Dysplasia of squamous cell,30 Severe Dysplasia of squamous cell,6 Carcinoma in situ and 5 intra-mucosal carcinoma in all patients.1cases of hemorrhage（2.2%） occured after the operations, for which hemostasia was successfully achived by endoscopy. Esophageal stenosis existed in another 2 cases（4.4%）,for which stenosis was relieved by endoscopic therapy.Remain and recurrence was present in 3 cases（6.7%）. Conclusion The treatment with MBM is easy and effective for early esophageal cancer and precancerous lesions.

关 键 词：多环粘膜切除术 早期食管癌 癌前病变 

分 类 号：R735.1[医药卫生—肿瘤]