内镜黏膜下剥离术治疗早期胃癌的效果  

The Effect of Endoscopic Submucosal Dissection in the Treatment of Early Gastric Cancer Patients

作　　者：张白羽 ZHANG Bai-yu(Department of Gastroenterology,The Hongda Hospital of Jiamusi Unviersity,Jiamusi 154000,Heilongjiang Province,China)

机构地区：[1]佳木斯大学宏大医院消化内科,黑龙江佳木斯154000

出　　处：《罕少疾病杂志》2025年第4期124-125,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的分析对早期胃癌患者应用内镜黏膜下剥离术的治疗效果。方法选取佳木斯大学宏大医院消化内科2019年4月至2021年1月收治的早期胃癌患者,共计88例,按照入院时间顺序分组。对照组(n=44)采用胃癌根治性手术,观察组(n=44)采用内镜黏膜下剥离术,比较两组临床指标、术后疼痛及并发症发生率。结果术中,两组输血情况无差异(P>0.05);观察组清理淋巴结数目以及术中出血量情况较对照组少,且手术时间长;术后各时段VAS评分均低于对照组(P<0.05);观察组并发症发生率更低2.27%(1/44)<20.45%(9/44)(P<0.05)。结论内镜黏膜下剥离术效果确切,治疗安全性较高,可减轻手术对机体的损伤程度,优势明显,疗效可观,可行性强。Objective To analyze the therapeutic effect of endoscopic submucosal dissection in patients with early gastric cancer.Methods A total of 88 patients with early gastric cancer admitted to the Gastroenterology Department of Jiamusi University Hongda Hospital from April 2019 to January 2021 were selected and grouped according to admission time order.The control group(n=44)underwent radical surgery for gastric cancer,and the observation group(n=44)underwent endoscopic submucosal dissection.The clinical indexes,postoperative pain and complication rates of the two groups were compared.Results During operation,there was no difference in blood transfusion between the two groups(P>0.05).The number of lymph nodes cleared and the amount of blood loss during operation in the observation group were less than those in the control group,and the operation time was longer.VAS scores were lower than those of control group(P<0.05).The complication rate of observation group was lower by 2.27%(1/44)<20.45%(9/44)(P<0.05).Conclusion Endoscopic submucosal dissection has definite effect,high therapeutic safety,and can reduce the degree of injury to the body.It has obvious advantages,considerable curative effect and strong feasibility.

关 键 词：内镜黏膜下剥离术 早期胃癌 治疗安全性 疼痛症状 

分 类 号：R735.2[医药卫生—肿瘤]