内镜下粘膜切除术治疗消化道早期癌及癌前病变的临床研究

Huiji Peng
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摘要

分析内镜下粘膜切除术(EMR)治疗消化道早期癌及癌前病变的临床效果。本研究招募2013年1月至2015年5月在我院治疗的63例早期胃肠道癌及癌前病变患者。患者随机分为观察组(32例)和对照组(31例)。对照组采用常规手术治疗,观察组采用EMR治疗。观察两组患者的临床疗效。根治率为100.0% (P > 0.05)。观察组术后并发症发生率为3.1%(1/32),对照组为25.8%(8/31)。观察组手术时间明显短于对照组(P < 0.05)。随访1年。两组患者均无原发肿瘤转移及复发(P > 0.05)。EMR治疗效果好,并发症明显减少。
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Clinical study of endoscopic mucosal resection for digestive tract early cancer and precancerous lesions treatment
The clinical effect of endoscopic mucosal resection (EMR) on the digestive tract of early cancer and precan-cerous lesions was analyzed. 63 patients with early gastrointestinal cancer and precancerous lesions treated in our hospital from January 2013 to May 2015 were recruited for this study. Patients were randomly divided into the observation group (32 cases) and the control group (31 cases). The control group underwent conventional surgical treatment, while  the observation group underwent EMR. Both groups were observed for the clinical effect. The curative resection rate was 100.0% (P > 0.05). The postoperative complication rate was 3.1% (1/32) in the observation group and 25.8% (8/31) in the control group. The operation time for the observation group was significantly shorter than the control group (P < 0.05). Subjects were followed up for 1 year. Both groups showed no primary tumor metastasis and recurrence (P > 0.05). EMR treatment showed good effect and significantly fewer complications in patients. 
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