【摘要】 目的探讨ST帽+口袋法内镜黏膜下剥离术(ESD)治疗消化道早期黏膜病变的优势和疗效。方法回顾性分析2016年4月至2019年5月间应用ST帽+口袋法ESD(ST帽组)治疗消化道早期病变110例和传统ESD方法(传统组)治疗96例,比较两组完整切除率、手术时间、并发症发生率等方面的差异。结果 ST帽组一次性完整切除率显著高于传统组(100%VS 85.4%),差异具有统计学意义(P<0.05)。ST帽组手术平均时间为(46.95±9.57)min,并发症7例(6例术后出血,1例穿孔)。传统组手术平均时间为(61.24±14.27)min,并发症7例(5例出血、2例穿孔)。两组手术时间比较,差异有统计学意义(P<0.05),但并发症发生率比较,差异无统计学意义(P>0.05)。结论 ST帽组与传统组相比,在胃高位(胃体和胃底)ESD和结肠(除了直肠外)ESD中,一次性完全切除率高,手术操作时间短,术后并发症发生率并无明显差异。更多还原

【Abstract】 Objective To investigate the advantages and efficacy of ST cap and pocket endoscopic submucosal dissection(ESD) in the treatment of early gastrointestinal mucosal lesions.Methods The clinic data were analyzed retrospectively from April 2016 to May 2019,using ST cap + pocket method ESD(ST cap group) to treat early digestive tract lesions 110 cases and traditional ESD(traditional group) treatment 96 cases.The difference of total resection rate,operation time and complication rate between the two groups were compared.Results The complete resection rate of St cap group was significantly higher than that of traditional group(100% vs 85.4%).The difference was statistically significant(P<0.05).The average operation time of ST cap group was(46.95±9.57) min,and complications were 7 cases(6 bleeding,1 perforation).The average time of operation in traditional group was(61.24±14.27) min,with 7 complications(5 bleeding and 2 perforation).The difference between the two groups was statistically significant(P<0.05),but there was no statistically significant difference in the incidence of complications(P>0.05).Conclusion Compared with the traditional group,the ST cap group had a high rate of total resection and short operation time in the high stomach(stomach body and stomach bottom) ESD and colon(except the rectum) ESD,but there was no significant difference in the incidence of postoperative complications.更多还原