广州医药2024，Vol.55Issue(11)：1314-1318,5.DOI:10.20223/j.cnki.1000-8535.2024.11.012
无痛消化内镜下高频电刀治疗对胃癌前病变的应用效果及复发率的影响
The application effect and recurrence rate of high-frequency electric knife therapy under painless digestive endoscopy on gastric precancerous lesions
郭永锋 1李利娟 1孙苗苗 1马宁 1吴贵荣1
作者信息
- 1. 甘肃医学院附属医院消化内科(甘肃 平凉 744000）
- 折叠
摘要
Abstract
Objective To explore the application effect and recurrence rate of painless endoscopic high-frequency electrocautery on gastric precancerous lesions.Methods A total of 120 patients with precancerous gastric cancer admitted to the Affiliated Hospital of Gansu Medical College from January 2017 to January 2020 were selected for retrospective analysis and divided into two groups according to their surgical treatment plan,with 60 patients in each group.The control group underwent conventional endoscopic submucosal dissection,and the patients in the observation group received painless digestive endoscopic high-frequency electric knife dissection.The resection speed,resection area,curative resection rate,complete and bulk resection rate were compared of the two groups,the patients were followed up for 3 years to record the recurrence rate,and the complications of the two groups of patients were also compared.Results There were no differences in resection area,curative resection rate,complete resection rate and total resection rate between the two groups(P＞0.05).The resection speed in the observation group was(27.34±8.58)mm2/min,which was higher than that in the control group(15.54±4.52)mm2/min(P＜0.05).There was no difference in the total recurrence rate(28.33%vs 30.00%)at 3 years after surgery between the two groups(P＞0.05).The incidence of infection,perforation and other related complications in the observation group was 3.33%,lower than that in the control group(15.00%)(P＜0.05).Conclusions Compared with conventional endoscopic submucosal dissection,high-frequency electric knife under painless digestive endoscopy has significant efficacy in the treatment of gastric precancerous lesions.However,painless endoscopic high-frequency electrosurgical treatment can improve the resection speed and reduce the incidence of complications such as infection,perforation and bleeding.关键词
消化内镜/无痛/高频电刀/胃癌前病变/内镜黏膜下剥离术/复发率Key words
digestive endoscopy/painless/high frequency electric knife/gastric precancerous lesions/endoscopic submucosal dissection/recurrence rate引用本文复制引用
郭永锋,李利娟,孙苗苗,马宁,吴贵荣..无痛消化内镜下高频电刀治疗对胃癌前病变的应用效果及复发率的影响[J].广州医药,2024,55(11):1314-1318,5.
