早期胃癌诊断治疗中消化内镜黏膜下剥离术的价值分析.docxVIP

早期胃癌诊断治疗中消化内镜黏膜下剥离术的价值分析 郑仁斌　乐桥良　郭超　陆晶　刘元辉 [摘要] 目的 探討早期胃癌诊断治疗中消化内镜黏膜下剥离术的价值，以提高早期胃癌患者的生存质量。 方法 选取20XX年2月～20XX年3月于我院就诊的早期胃癌患者60例为研究对象，依据治疗方式不同分为两组，对照组30例予常规诊断治疗，观察组30例予消化内镜黏膜下剥离术，比较两组的临床治疗指标、病理结果、并发症发生率。 结果 两组患者临床治疗指标比较，观察组各项指标明显优于对照组，差异有统计学意义（P0.05）。两组患者的病理结果比较，观察组可见1例侧切缘有癌组织残留，经内镜下再次行黏膜下剥离术完整切除病灶;1例水平切缘有癌组织残留，追加腹腔镜手术切除病灶，术后病理未见癌细胞。两组患者有无癌残留及完整切除情况比较，差异无统计学意义（P0.05）。两组患者并发症发生率比较，观察组显著低于对照组，差异有统计学意义（P0.05）。 结论 临床对早期胃癌患者进行诊断治疗时，予以消化内镜黏膜下剥离术能够取得良好的诊断以及治疗效果，同时并发症发生较少，安全有效，值得推广。 [关键词] 早期胃癌;诊断治疗;消化内镜;黏膜下剥离术;并发症;疗效 [中图分类号] R735.2 [文献标识码] A [文章编号] 1673-9701（2020）21-0011-04 Analysis of value of endoscopic submucosal dissection in diagnosis and treatment of early gastric cancer ZHENG Renbin LE Qiaoliang GUO Chao LU Jing LIU Yuanhui Department of Gastroenterology， Mindong Hospital， Fujian Medical University， Fuan 355000， China [Abstract] Objective To probe into the value of endoscopic submucosal dissection in diagnosis and treatment of early gastric cancer， in order to improve the quality of life of patients with early gastric cancer. Methods 60 cases of patients with early gastric cancer and who treated in our hospital from February 20XX to March 20XX were selected for research and observation， and the patients were divided into two groups according to the different treatment methods.The control group of 30 cases received routine diagnosis and treatment， while the observation group of 30 cases received endoscopic submucosal dissection. The clinical treatment indexes， pathological results and complication rate of two groups were compared. Results The clinical treatment indexes between the two groups were compared， the each indexes in the observation group was significantly better than that in the control group， and the difference between the two groups was significant（P0.05）. The pathological results of two groups were compared， in the observation group， 1 case had residual cancer on the lateral margin， and was completely re