内镜黏膜下剥离术治疗早期结肠癌的疗效观察

The Effect Observation of Endoscopic Submucosal Dissection in the Treatment of Early Colonic Cancer

目的:探讨内镜黏膜下剥离术(ESD)治疗早期结肠癌的效果。方法:选取2020年3月至2021年3月,本院收治的102例早期结肠癌患者,随机分为观察组和对照组,每组51例。观察组采用ESD治疗,对照组采用常规腹腔镜下切除术治疗。观察比较2组术后疗效、手术指标及并发症情况。结果:观察组总有效率为94.11%,高于对照组的78.43%(P<0.05);观察组术中出血量少于对照组(P<0.05),手术时间和住院时间短于对照组(P<0.05);观察组并发症发生率为3.92%,低于对照组的19.60%(P<0.05)。结论:早期结肠癌患者应用ESD治疗,可以减少术中出血量,减少术后并发症,加快术后康复,值得临床推广应用。

Objective To investigate the effect of endoscopic submucosal dissection(ESD)for treating early colonic cancer.Methods Randomly divided 102 patients with early colonic cancer treated in authors hospital(2020-03-2021-03)into observation group(51 cases,received ESD)and control group(51 cases,still received routine laparoscopic resection);then,observed and compared both groups'effect,operative norms,and complication status.Results In total effective rate,in intraoperative bleeding vol-ume,in the time for operating and hospitalization,as well in the incidence of complication,observation group was respectively higher(94.11%vs 78.43%),less,shorter,as well lower(3.92%vs 19.60%)than control group(all,P<o.05).Conclusion ESD for treating early colonic cancer can reduce intraopera-tive bleeding volume,decrease postoperative complication,and promote postoperative rehabilitation,thus,it is worthy to be popularized to use clinically.