医学新知杂志Issue(3)：190-192,3.
内镜下粘膜切除术和粘膜剥离术治疗消化道早癌的短期疗效评估
Endoscopic Submucosal Dissection in the Treatment of Gastrointestinal Tumors Short - term Efficacy Evaluation of Endoscopic Mucosal Resection and
贺琼 1李国珍1
作者信息
- 1. 430015 湖北武汉，武汉市第十一医院
- 折叠
摘要
Abstract
Objective To investigate short - term efficacy of endoscopic mucosal resection(EMR)and endoscop-ic submucosal dissection(ESD)in the treatment of gastrointestinal tumors. Methods 80 patients with gastrointestinal tumor were randomly divided into ESD group and EMR group with 40 cases in each group. The complete resection rate,whole block resection rate,intraoperative bleeding rate,intraoperative perforation rate,postoperative morbidity rate and 1 year survival rate were compared between the two groups. Results The whole block resection rate(97. 5% ) and complete resection rate(92. 5% )in ESD group were significantly higher than those in EMR group(77. 5% and 70. 0% )(P < 0. 01). The intraoperative bleeding rate in control group was 2. 5% ,which was significantly lower than that in ESD group(7. 5% )(P < 0. 05). The rate of perforation was 2. 5% in EMR group versus 0 in ESD group. There was no significant difference between the two groups(P ﹥ 0. 05). There was no significant difference in postoperative recovery between the two groups(P ﹥ 0. 05). There were 1 case of wound infection in ESD group,while no obvious ad-verse reaction occurred in EMR group. There was no significant difference between the two groups(P ﹥ 0. 05). 1 year recurrence rate in ESD group was 2. 5% versus 7. 5% in control group. There was significant difference between the two groups(P < 0. 05). Conclusion Endoscopic submucosal dissection is more effective in the treatment of gastroin-testinal tumor.关键词
食管癌/胃癌/大肠癌/粘膜切除术/粘膜剥离术Key words
Esophageal cancer/Gastric cancer/Colorectal cancer/Endoscopic mucosal resection/Endoscopic submucosal dissection分类
医药卫生引用本文复制引用
贺琼,李国珍..内镜下粘膜切除术和粘膜剥离术治疗消化道早癌的短期疗效评估[J].医学新知杂志,2015,(3):190-192,3.
