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胃癌前病变及早期胃癌诊治的进展 被引量:16

Progress in diagnosis and treatment of precancerous lesions and early gastric cancer
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摘要 胃癌居肿瘤第4位,相关死因的第2位.早期胃癌治疗后5年生存率达84%-99%.对癌前病变及早癌早发现、早治疗是提高患者生存率的关键.现各种特色内镜(如超声内镜、窄带成像技术、放大内镜、色素内镜等的出现)及影像学、实验室技术的更新使得早癌及癌前病变的诊断率明显提高.并且内镜技术(例内镜黏膜下剥离术等)及微创外科(腹腔镜等)等使得早癌及癌前病变的治疗疗效更好、创伤更小,能减少术后并发症的发生,能改善患者术后生活质量. Gastric cancer is the fourth most prevalent cancer worldwide and the second cause of cancerrelated death. The 5-year survival rate for early gastric cancer after treatment is 84%-99%. Early detection and treatment of precancerous lesions are pivotal to improved patient survival. The development of various endoscopic (e.g., endoscopic ultrasound, narrowband imaging, magnifying endoscopy and chromoendoscopy), imaging and laboratory technologies has significantly improved the rate of diagnosis of early cancer and precancerous lesions. In addition, endoscopic techniques (e.g., endoscopic submucosal dissection) and minimally invasive surgery (e.g., laparoscopy) make the therapy of early cancer and precancerous lesions better and less invasive, reduce the incidence of postoperative complications, and improve the quality of life of patients after surgery.
作者 张春霞 董杰
出处 《世界华人消化杂志》 CAS 北大核心 2014年第10期1365-1372,共8页 World Chinese Journal of Digestology
关键词 早期胃癌 癌前病变 诊断与治疗 Early gastric cancer Precancerous lesions Diagnosis Treatment
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