内镜下黏膜剥离术在消化道早癌治疗中的优越性

Analysis on Superiority of Endoscopic Submucosal Dissection in Treatment of Early Gastrointestinal Cancer

内镜下黏膜剥离术(ESD)是一项近年来较为先进的内镜下治疗技术,可完整切除消化道表浅的肿物,从而避免外科手术治疗,并且最大限度地保护消化道功能。长期的临床应用观察表明,ESD用于治疗消化道早期癌的预后与外科手术相当,且在控制手术并发症、治疗费用及住院时间方面具有明显优势。ESD与内镜下黏膜切除术相比有较高的有效切除率,且两种治疗的并发症发生率基本相同。由此可见,ESD术安全、有效,且逐渐被越来越多的医院、医技人员及患者所接受。

Endoscopic submucosal dissection（ ESD） is an advanced endoscopic treatment technology in recent years,which can completely remove the superficial neoplasm of the digestive tract,thus avoid surgical treatment,and protect the function of the digestive tract as much as possible. Long-term clinical observation showed that the effect of ESD in the treatment of early gastrointestinal cancer is comparable to surgery,and it has obvious advantages in controlling complications,treatment cost and hospital stay time. ESD has a higher effective resection rate than endoscopic mucosal resection,but the incidence of complications was similar. Thus it can be seen that ESD is safe and effective,and gradually accepted by more and more hospitals,clinical technician and patients.