牙线牵引辅助在内镜黏膜下剥离术治疗食管早癌及癌前病变中的应用  

Application of dental traction in endoscopic submucosal dissection for early esophageal cancer and precancerous lesions

作　　者：黄少慧[1] 黄榕[1] 黄颖[1] 彭阳[1] 徐丽[1] 范嘉仪 Shao-hui Huang;Rong Huang;Ying Huang;Yang Peng;Li Xu;Jia-yi Fan(Department of Digestive Diseases,Nanfang Hospital of Southern Medical University,Guangzhou,Guangdong 510515,China)

机构地区：[1]南方医科大学附属南方医院消化内科,广东广州510515

出　　处：《中国内镜杂志》2018年第9期44-47,共4页China Journal of Endoscopy

摘　　要：目的初步探讨牙线在内镜黏膜下剥离术(ESD)治疗食管早癌及癌前病变中的应用价值。方法回顾性分析2015年7月-2016年7月由同一操作者熟练应用ESD方法治疗食管早癌及癌前病变40例,观察组为采用牙线牵引辅助ESD 20例、对照组为传统ESD方法治疗20例,比较手术时间、一次性病变完整切除率、住院时间及术后并发症发生率等方面的差异。结果观察组牙线辅助ESD法平均手术时间、住院时间少于对照组传统ESD术,差异有统计学意义(P<0.05);观察组牙线辅助一次性病变完整切除率高于对照组,差异有统计学意义(P<0.05);两组均无出现术后大出血和穿孔等并发症,差异无统计学意义(P>0.05)。结论牙线牵引辅助应用于ESD术安全、方便、有效,能够缩短手术操作时间,提高一次性完整切除率,缩短住院时间,降低并发症发生率。Objective To perform a preliminary study on dental floss in the treatment of early esophageal cancer and precancerous lesions with endoscopic submucosal dissection(ESD).Methods 40 cases of early esophageal and precancerous lesions were divided into observation group(20 cases)and control group(20 cases)and treated by the same skilled operator with ESD method from July 2015 to July 2016.The patients in observation group was treated with dental traction auxiliary ESD,while patients in control group were treated with traditional ESD method.The operation time,the complete removal rate of one-time lesions,the time of hospitalization and postoperative complications were compared.Results The average time of ESD operation and the time of hospitalization of the observation group were less than the traditional ESD in the control group(P<0.05),and the total removal rate of the one-off lesion in the observation group was higher than that of the control group(P<0.05).The two groups had no complications such as massive hemorrhage and perforation after operation.The difference was not statistically significant(P>0.05).Conclusion The application of dental traction to ESD is safe,convenient and effective.It can shorten the operation time,improve the one-time complete resection rate,shorten the time of hospitalization,and reduce the incidence of complications.

关 键 词：牙线 牵引 内镜下黏膜下剥离术 食管早期病变 

分 类 号：R735.1[医药卫生—肿瘤]