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内镜套帽法切除食管胃早期癌及癌前病变89例分析 预览 被引量:6

Analysis on 89 Cases with Endoscopic Mucosal Resection Using a Cap for Early Gastric and Esophageal Cancer and Precancerous Lesion
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摘要 目的:探讨内镜套帽法切除早期食管、胃癌及癌前病变的应用价值.方法:1996年9月~2003年9月采用套帽法切除早期食管、胃癌及癌前病变89例,术前、术后均经病理证实.结果:随访5年以上17例,3~5年10例,1~3年38例,不足1年24例,非癌死亡5例,未见癌复发.结论:套帽法完全切除率较高,操作较简单,优于其他方法;病灶显示及切除技巧是影响完全切除的主要因素;适量粘膜下注药,掌握高频电切除技术等是预防并发症的关键;中度不典型增生短期复查无好转和重度不典型增生,应内镜治疗;内镜粘膜切除治疗在食管胃癌防治策略中具有重要价值和意义. Objective: To discuss the value of application for endoscopic mucosal resection (EMR) on early gastroesophageal cancer and precancerous lesion. Methods: EMR was performed with a transparent cap in 89 patients between September 1996 and September 2003. All cases were confirmed histologically before and after operation. Results: Endoscopic follow-up was carried out in 17 patients for more than 5 years, 10 patients for 3 to 5 years and others for less than 3 years; no recurrence occurred and 5 patients died of other diseases during the period. Conclusions: The EMR procedure with the removal device is simpler and more efficacious than other method considerably; the display of lesions and the operating technique of EMR are main elements in influencing completive resection; the quantity of submucosal injection and using correctly on electrosurgical units can prevent complication; Medium dysplasia which does not improvement after a short-term follow up and severe dysplasia should be treated with EMR. The application of EMR is meaningful in the prevention and control of esophageal and gastric cancer.
作者 吴明利 王士杰 高扬 张立玮 王顺平 郭晓青 刘艳凤 李英赛 丛庆文 Wu Mingli Wang Shijie Gao Yang et alThe Fourth Hospital of Hebei Medical University, Shijiazhuang
出处 《中国肿瘤临床》 CAS CSCD 北大核心 2005年第4期 222-224,共3页 Chinese Journal of Clinical Oncology
关键词 胃肿瘤 食管肿瘤 内镜粘膜切除术 Gastric Neoplasia Esophageal neoplasia Endoscopic mucosal resection
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