EFTR-C与ESE治疗≤1.5 cm腔内生长型胃间质瘤的疗效分析  

Analysis on effects of EFTR-C and ESE for treating≤1.5 cm intraluminal growth type gastric stromal tumor

作　　者：黄斌 付海晓 李滨[1] 肖绪华[1] HUANG Bin;FU Haixiao;LI Bin;XIAO Xuhua(Department of Gastroenterology,Affiliated Hospital of Guilin Medical College,Guilin,Guangxi 541001,China;Department of Pathology,Affiliated Hospital of Guilin Medical College,Guilin,Guangxi 541001,China)

机构地区：[1]桂林医学院附属医院消化内科,广西桂林541001 [2]桂林医学院附属医院病理科,广西桂林541001

出　　处：《重庆医学》2024年第17期2583-2587,共5页Chongqing Medical Journal

基　　金：国家自然科学基金面上项目(82173075)。

摘　　要：目的比较透明帽辅助内镜全层切除术(EFTR-C)与内镜黏膜下挖除术(ESE)治疗≤1.5 cm腔内生长型胃间质瘤的有效性及安全性。方法回顾性分析2019年6月至2023年9月该院治疗63例≤1.5 cm腔内生长型胃间质瘤患者的病历资料,根据手术方式分为EFTR-C组(n=33)和ESE组(n=30),对比两组一般资料、手术情况、术后情况、随访情况。结果两组患者术中气腹率、荷包缝合率、整块切除率、完全切除率、并发症发生率比较差异无统计学意义(P>0.05),手术时间、术中出血率、钛夹数量、禁食时间、住院时间、手术费用比较差异有统计学意义(P<0.05)。两组患者术后创面愈合良好,无复发、转移及死亡。结论对于≤1.5 cm腔内生长型胃间质瘤,EFTR-C相较ESE具有操作简单、手术时间短、费用低、恢复快等优势。Objective To compare the effectiveness and safety of transparency cap-assisted endoscopic full-thickness resection(EFTR-C)and endoscopic submucosal excavation(ESE)in the treatment of≤1.5 cm intracavity growth type gastric stromal tumor.Methods A retrospective analysis was performed on the medical records of 63 patients with≤1.5 cm intraluminal growth type gastric stromal tumor treated in this hospital from June 2019 to September 2023.The patients were divided into the EFTR-C group(n=33)and ESE group(n=30)according to surgical methods.The general data,operation situation,postoperative situation and follow-up were compared between the two groups.Results There was no statistically significant difference in the intraoperative pneumoperitoneum rate,purse string suture rate,monoblock resection rate,complete resection rate and complication occurrence rate between the two groups(P>0.05).The operative time,incidence rate of intraoperative bleeding,number of titanium clips,postoperative fasting time,postoperative hospitalization duration and operation costs had statistical difference between the two groups(P<0.05).Postoperative wound healing was good in both groups without recurrence,metastasis and death.Conclusion EFTR-C for the treatment of≤1.5 cm intracavity growth type gastric stromal tumor has the advantages of simple operation,short operation time,low costs and rapid recovery compared with ESE.

关 键 词：胃间质瘤 透明帽辅助内镜全层切除术 内镜黏膜下挖除术 

分 类 号：R573.9[医药卫生—消化系统]