探讨内镜下治疗消化道早癌及癌前病变的疗效及安全性

To Investigate the Efficacy and Safety of Endoscopic Treatment of Early Gastrointestinal Cancer and Precancerous Lesions

目的探讨内镜下治疗消化道早癌及癌前病变的疗效及安全性。方法选取2014年3月—2016年3月我院收治的消化道早癌及癌前病变者64例作为观察目标,按照数字表法分为A组(n=32,行内镜黏膜下剥离术)和B组(n=32,行传统外科手术),比较两组手术效果。结果 A组手术时间、住院时间均显著短于B组,组间差异有统计学意义(P<0.05);B组并发症发生率高于A组,差异有统计学意义(P<0.05)。结论内镜黏膜下剥离术治疗消化道早癌及癌前病变的临床疗效优于传统外科手术,并发症发生率低,安全可靠。

Objective To investigate the efficacy and safety of endoscopic treatment of early gastrointestinal cancer and precancerous lesions. Methods From March 2014 to March 2016 in our hospital of early gastrointestinal cancer and precancerous lesions in 64 cases as the observation object, were randomly divided into A group （n=32, endoscopic submucosal dissection） and B group （n=32, treated by traditional surgery）, compared 2 groups of surgery. Results The operation time and hospitalization time of A group were significantly shorter than those of B group, the difference was significant （P 〈 0.05）. The complication rate of B group was higher than that of A group, and the difference was statistically significant （P 〈 0.05）. Conclusion Endoscopic submucosal dissection in the treatment of early gastrointestinal cancer and precancerous lesions of the clinical efficacy is superior to conventional surgery, the incidence of complications is low, safe and reliable.