内镜下黏膜切除术治疗食管黏膜下肿瘤48例分析

Clinical analysis of digestive endoscopic mucosal resection on esophageal submucosal tumors 48 cases

目的探讨消化内镜下黏膜切除术治疗食管黏膜下肿瘤的临床效果。方法选取食管黏膜下肿瘤患者80例,随机分为两组,其中对照组32例,观察组48例。对照组患者在胸腔镜辅助下行手术;观察组患者于消化内镜辅助下行手术。对两组患者手术时间、术中出血量以及术后住院时间进行观察和统计。结果观察组患者手术时间、术中出血量以及术后住院时间分别为(52.76±15.64)min、(31.57±21.72)ml和(4.55±0.87)d,对照组分别为(118.61±24.58)min、(65.83±22.06)ml和(8.29±2.24)d,两组比较差异明显,有统计学意义(P<0.05)。结论消化内镜下黏膜切除术治疗食管黏膜下肿瘤具有损伤小、恢复快等优点,是一种安全的治疗方式。

Objective To observe the clinical effect of digestive endoscopic mucosal resection in treatment of esophageal submucosal tumors. Methods Totally 80 patients with esophageal submucosal tumors were selected and divided into 2 comparable groups randomly, the control group for 32 cases and the observation group for 48 eases. The control group were given operation assisted with thoracoscopy. And the observation group were given operation assisted with digestive endoscopy. Observing and censusing the operation time, the amount of bleeding in operation and the postoperative hospi- tal stay of the two groups. Results The operation time, the amount of bleeding in operation and the postoperative hospi- tal stay of the observation group was （ 52.76 ± 15.64 ） rain, （ 31.57 ±21.72 ） ml and （4. 55 v 0. 87 ） d. As for the control group, it was （52. 76 ± 15.64）min, （31.57 ±21.72）ml and （4. 55± 0. 87 ）d. The content above of the observation group was less significantly than that of the control group. The difference between 2 groups was evident, which had sta- tistical significance （ P 〈 0. 05 ）. Conclusions Digestive endoscopic mueosal resection to treat esophageal submucosal tumors has.the advantages of small damage and fast recovery, which is a kind of safe treatment method.