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内镜黏膜下剥离术治疗消化道肿瘤的疗效和安全性
Efficacy and safety of endoscopic submucosal dissection in the treatment of digestive tract tumors
【摘要】 目的探讨在消化道肿瘤患者的临床治疗中给予内镜黏膜下剥离术治疗的疗效。方法选取2015年1月~2018年5月我院收治的消化道肿瘤患者98例作为研究对象,依据手术措施的差异将其以一定的比例分为两组,给予内镜黏膜切除术(EMR)的为对照组,给予内镜黏膜下剥离术(ESD)治疗的为观察组,对比病灶切除情况以及术后并发症发生率。结果观察组病灶切除情况好于对照组,术中穿孔、术中出血、术后延迟出血生理仅为6.1%,明显低于对照组,组间对比,差异有统计学意义(P<0.05)。结论对消化道肿瘤患者,在临床治疗措施中实施内镜黏膜下剥离术效果显著,不仅可以提高整块切除和治愈性切除率,还能减少并发症,安全性较高,值得临床推广。
【Abstract】 Objective To investigate the clinical efficacy of endoscopic submucosal dissection in the treatment of gastrointestinal cancer.Methods 98 patients with digestive tract tumor were divided into two groups according to the difference of surgical measures.The control group was treated with endoscopic mucosal resection(EMR) and the observation group was treated with endoscopic submucosal dissection(ESD).Incidence of disease.Results The resection of lesions in the observation group was better than that in the control group.The physiology of perforation,bleeding and delayed bleeding in the operation was only 6.1%,which was significantly lower than that in the control group. The difference between the two groups was significant(P<0.05).Conclusion Endoscopic submucosal dissection is effective in the treatment of digestive tract tumors.It can not only improve the rate of total resection and curable resection,but also reduce complications.It is safe and worthy of clinical promotion.
【Key words】 Digestive tract tumor; Endoscopic mucosal resection; Endoscopic submucosal dissection; Therapeutic effect; Safety;
- 【文献出处】 临床医药文献电子杂志 ,Journal of Clinical Medical Literature , 编辑部邮箱 ,2019年19期
- 【分类号】R735
- 【下载频次】21