腹部按压在胃角早癌及癌前病变内镜黏膜下剥离术中的应用  

Application of Abdominal Compressions in Endoscopic Submucosal Dissection for Early Gastric Cancer and Precancerous Lesions at the Gastric Angle

作　　者：卢磊[1] 毕小刚[1] 张艳[1] 田丰[1] Lu Lei;Bi Xiaogang;Zhang Yan(Department of Gastroenterology,Zigong Fourth People's Hospital,Zigong,Sichuan 643000,China)

机构地区：[1]自贡市第四人民医院消化内科,四川自贡643000

出　　处：《四川医学》2025年第1期84-88,共5页Sichuan Medical Journal

摘　　要：目的研究腹部按压在胃角早癌及癌前病变内镜黏膜下剥离术中的效果。方法收集2019年1月至2023年10月在我院就诊的84例胃角早癌及癌前病变患者为研究对象,随机分为对照组(n=42)与试验组(n=42),对照组行常规内镜黏膜下剥离术,试验组行腹部按压辅助内镜黏膜下剥离术,比较两组患者术中情况及并发症发生率。结果试验组平均手术时间(50.34±8.71)min较对照组平均手术时间(65.77±11.08)min更短,差异有统计学意义(P<0.001);试验组平均病灶切除时间(31.30±5.70)min较对照组平均病灶切除时间(48.64±8.08)min更短,差异有统计学意义(P<0.001)。试验组并发症发生率11.90%,对照组并发症发生率16.67%,两组并发症发生率比较差异无统计学意义(P>0.05);两组病灶完整切除率均为100%,两组间病灶完整切除率比较差异无统计学意义(P>0.05)。结论腹部按压可明显缩短胃角早期胃癌及癌前病变内镜黏膜下剥离术的手术时间和病灶切除时间,不增加手术并发症,且简便易行、安全有效。Objective To study effects of abdominal compression in endoscopic submucosal dissection for early gastric cancer and precancerous lesions.Methods From January 2019 to October 2023,84 patients with early gastric cancer and precancerous lesions were collected as study subjects.They were randomly divided into control group(n=42)and experimental group(n=42).Control group received routine endoscopic submucosal dissection,while experimental group received abdominal compression-assisted endoscopic submucosal dissection.The intraoperative conditions and the incidence of complications were compared.Results The average surgical time of experimental group(50.34±8.71)minutes was shorter than that of control group(65.77±11.08)minutes with significant statistical difference(P<0.001).The average lesion resection time in experimental group(31.30±5.70)minutes was shorter than that in control group(48.64±8.08)minutes with significant statistical difference(P<0.001).Complicationrate in experimental group was 11.90%.Complicationrate in control group was 16.67%.There was no statistically significant difference in the incidence of complications(P>0.05).The complete resection rates of both groups of lesions were 100%,and there was no statistically significant difference in complete resection rates(P>0.05).Conclusion Abdominal compression could significantly shorten surgical time and lesion resection time of endoscopic submucosal dissection for early gastric cancer and precancerous lesions in gastric angle,without increasing surgical complications.It is simple,easy to perform,safe and effective.

关 键 词：早期胃癌 癌前病变 内镜黏膜下剥离术 腹部按压 

分 类 号：R735.2[医药卫生—肿瘤]