内镜黏膜下剥离术治疗消化道肿瘤的疗效和安全性  

Efficacy and safety of endoscopic submucosal dissection in the treatment of digestive tract tumors

作　　者：卢宝祥 刘春华[1] 邓有彩 华军[1] 周士军[1] 刘立新[1] LU Bao-xiang;LIU Chun-hua;DENG You-cai;HUA Jun;ZHOU Shi-jun;LIU Li-xin(Baoying County People's Hospital,Jiangsu Province,Jiangsu Yangzhou 225800,China)

机构地区：[1]江苏省宝应县人民医院,江苏扬州225800

出　　处：《临床医药文献电子杂志》2019年第19期6-7,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨在消化道肿瘤患者的临床治疗中给予内镜黏膜下剥离术治疗的疗效。方法选取2015年1月～2018年5月我院收治的消化道肿瘤患者98例作为研究对象,依据手术措施的差异将其以一定的比例分为两组,给予内镜黏膜切除术(EMR)的为对照组,给予内镜黏膜下剥离术(ESD)治疗的为观察组,对比病灶切除情况以及术后并发症发生率。结果观察组病灶切除情况好于对照组,术中穿孔、术中出血、术后延迟出血生理仅为6.1%,明显低于对照组,组间对比,差异有统计学意义(P<0.05)。结论对消化道肿瘤患者,在临床治疗措施中实施内镜黏膜下剥离术效果显著,不仅可以提高整块切除和治愈性切除率,还能减少并发症,安全性较高,值得临床推广。Objective To investigate the clinical efficacy of endoscopic submucosal dissection in the treatment of gastrointestinal cancer.Methods 98 patients with digestive tract tumor were divided into two groups according to the difference of surgical measures.The control group was treated with endoscopic mucosal resection(EMR)and the observation group was treated with endoscopic submucosal dissection(ESD).Incidence of disease.Results The resection of lesions in the observation group was better than that in the control group.The physiology of perforation,bleeding and delayed bleeding in the operation was only 6.1%,which was significantly lower than that in the control group.The difference between the two groups was significant(P<0.05).Conclusion Endoscopic submucosal dissection is effective in the treatment of digestive tract tumors.It can not only improve the rate of total resection and curable resection,but also reduce complications.It is safe and worthy of clinical promotion.

关 键 词：消化道肿瘤 内镜黏膜切除术 内镜黏膜下剥离术 治疗疗效 安全性 

分 类 号：R735[医药卫生—肿瘤]