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探究消化内镜在早期胃癌患者行黏膜下剥离术中的应用效果 被引量:5

Exploring the Effect of Digestive Endoscopy in Submucosal Dissection in Patients with Early Gastric Cancer
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摘要 目的分析探究消化内镜在早期胃癌患者行黏膜下剥离术中的应用效果。方法选取我院于2016年1月至2019年1月收治的早期胃癌患者48例,对所有患者应用消化内镜黏膜下剥离术治疗,观察治疗效果。结果所有48例早期胃癌患者中,病灶总数50个。手术结束后,所有患者平均手术时间为(57.24±10.09)min,病灶完整切除48个,病灶完整切除率为96.0%,可能治愈切除49个,可能治愈切除率为98.0%。患者术后并发症发生情况:腹痛10例、出血0例、穿孔1例,并发症发生率为22.9%,经对症治疗后,均已痊愈。未进行完整切除的2例患者通过开腹手术治疗,未发生淋巴结转移。所有患者均存活,无死亡患者出现。结论使用消化内镜黏膜下剥离术治疗早期胃癌患者,具有较高的病灶完整切除率、可能治愈切除率以及较低的并发症发生率,术后患者恢复均较好,整体疗效较好,可在临床推广使用。 Objective To analyze and explore the application effect of digestive endoscopy in submucosal dissection of early gastric cancer patients.Methods Forty-eight patients with early gastric cancer admitted to our hospital from January 2016 to January 2019 were treated with endoscopic submucosal dissection,and the therapeutic effect was observed.Results In all 48 patients with early gastric cancer,the total number of lesions was 50.After the operation,the average operation time of all patients was(57.24±10.09)minutes,48 lesions were completely resected,the complete resection rate of lesions was 96.0%,49 may be cured and resected,and the possible cure resection rate was 98.0%.Postoperative complications:abdominal pain in 10 cases,bleeding in 0 cases,perforation in 1 case,the incidence of complications was 22.9%.After symptomatic treatment,all patients were cured.Two patients who underwent complete resection were treated with open surgery without lymph node metastasis.All patients survived and no deaths occurred.Conclusion The use of digestive endoscopic submucosal dissection for the treatment of patients with early gastric cancer has a higher complete resection rate of the lesion,a possible resection rate and a lower incidence of complications.The postoperative recovery is better and the overall effect is better.Can be used in clinical promotion.
作者 邹蕴 宛红娥 徐丽 雷孟德 杨文新 叶华 ZOU Yun;WAN Hong-e;XU Li;LEI Meng-de;YANG Wen-xin;YE Hua(Radiotherapy Department,General Hospital of Xinjiang Military Region,Urumqi,Xinjiang 830000;Medical Imaging Department,General Hospital of Xinjiang Military Region,Urumqi,Xinjiang 830000;Ultrasonography Department,Beijing Road Clinical Department of General Hospital of Xinjiang Military Region,Urumqi,Xinjiang 830000)
出处 《智慧健康》 2019年第23期61-63,共3页 Smart Healthcare
关键词 消化内镜 早期胃癌 黏膜下剥离术 Digestive endoscopy Early gastric cancer Submucosal dissection
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