内镜黏膜下剥离术治疗早期胃癌的效果研究

The Effect of Endoscopic Submucosal Dissection on Early Gastric Cancer

目的分析对比对早期胃癌患者分别实施传统术式、内镜黏膜下剥离手术(ESD)进行治疗的效果,以及对其并发症的影响情况。方法随机抽取2017年7月—2018年7月本院胃肠外科临床接收并施予传统手术进行治疗的44例早期胃癌患者为甲组,再选取同时间段接收并施予ESD进行治疗的44例早期胃癌患者为乙组,对两组的手术效果进行比较。结果(1)乙组手术时长、失血量以及术后住院时长均较甲组少,乙组治愈性切除率较甲组高,术后并发症的总发生率较甲组低,差异具有统计学意义(P<0.05)。(2)术后乙组QOL评分较甲组高,差异具有统计学意义(P<0.05)。结论与传统手术相比,内镜黏膜下剥离手术治疗早期胃癌的效果更为显著,价值更高。

Objective To analyze and compare the effects of traditional surgical and endoscopic submucosal dissection (ESD) on early gastric cancer patients and their effects on complications. Methods A total of 44 patients with early gastric cancer who received and received traditional surgery from July 2017 to July 2018 were randomly selected as group A. Then 44 patients with early gastric cancer received ESD at the same time were selected as group B. The surgical effects of the two groups were compared. Results (1) The operation time, blood loss and hospitalization time of group B were less than those of group A. The curative resection rate of group B was higher than that of group A. The total incidence of complications after operation was lower than that of group A. The difference was statistically significant (P<0.05).(2) The QOL score of group B was higher than that of group A, the difference was statistically significant (P<0.05). Conclusion Compared with traditional surgery, the effect of submucosal dissection surgery on early gastric cancer is more significant and of higher value.