牙线牵引辅助在内镜黏膜下剥离术治疗早期胃癌及癌前病变的疗效及对患者预后情况的影响  

Effect of Dental Floss Traction Assisted Endoscopic Submucosal Dissection on Early Gastric Cancer and Precancerous Lesions and Its Effect on Patient Prognosis

作　　者：林增宝 李琼[1] LIN Zengbao;LI Qiong(People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China)

机构地区：[1]福建中医药大学附属人民医院,福州350004

出　　处：《航空航天医学杂志》2020年第12期1417-1419,共3页Journal of Aerospace medicine

摘　　要：目的研究牙线牵引辅助在内镜黏膜下剥离术治疗早期胃癌及癌前病变的疗效及对患者预后情况的影响。方法随机抽取2018年1月~2020年1月收治的74例早期胃癌及癌前病变患者为研究对象,按照治疗方案分为对照组(n=36)与观察组(n=38),对照组接受常规内镜黏膜下剥离术治疗方案,观察组接受牙线牵引辅助下内镜黏膜下剥离术治疗方案,对两组患者黏膜暴露到完整剥离时间、标记病灶至完整剥离时间、难易操作部位切除时间、手术时间、完整切除率、并发症及随访情况进行评价和对比。结果观察组黏膜暴露到完整剥离时间、标记病灶至完整剥离时间、操作困难部位切除时间及手术时间均明显比对照组更短,且完整切除率、并发症发生率对照组差异明显,有统计学意义(P<0.05)。结论对于早期胃癌及癌前病变采用牙线牵引辅助内镜黏膜下剥离术治疗效果尤为显著,能够有效缩短手术操作时间,提高手术完整切除效率,确保手术安全性有效性。Objective To study the effect of dental floss traction assisted endoscopic submucosal dissection on early gastric cancer and precancerous lesions and its effect on the prognosis of patients.Methods Randomly selected 74 patients with early gastric cancer and precancerous lesions treated in our hospital from January 2018 to January 2020 as the research object, and were divided into the control group(n=36) and the observation group(n=38) according to the treatment plan. The control group received conventional endoscopic submucosal dissection treatment scheme, and the observation group received dental floss traction-assisted endoscopic submucosal dissection surgery scheme. The two groups of patients were exposed to complete peel time, marked lesions to complete peel time, The easy-to-operate site resection time, operation time, complete resection rate, complications and follow-up were evaluated and compared. Results The observation group was exposed to complete dissection time, the time from marking the lesion to the complete dissection time, the resection time of the difficult operation site and the operation time were significantly shorter than those of the control group, and the differences were statistically significant(P<0.05). Conclusions The use of dental floss assisted endoscopic submucosal dissection for early gastric cancer and precancerous lesions is particularly effective. It can effectively shorten the operation time, improve the efficiency of complete resection, and ensure the safety and effectiveness of surgery. value.

关 键 词：早期胃癌 癌前病变 内镜粘膜下剥离术 牙线牵引辅助 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]