摘要
目的探究带线钛夹牵引辅助内镜黏膜下剥离术治疗早期胃角癌的临床效果。方法将54例在我院进行内镜黏膜下剥离术治疗的早期胃角癌患者根据治疗术式不同分为对照组和研究组,每组27例,对照组采用内镜黏膜下剥离术治疗,研究组采用带线钛夹牵引辅助内镜黏膜下剥离术治疗。比较两组的治疗效果。结果研究组的手术时间、术后胃排空时间及胃肠通气时间短于对照组,术中出血量少于对照组(P<0.05)。研究组的病灶整块切除率、完整切除率高于对照组(P<0.05),但两组的组织学治愈性切除率无显著差异(P>0.05)。研究组的围手术期并发症总发生率低于对照组(P<0.05)。随访12~18个月,两组的癌症总复发率无显著差异(P>0.05)。结论带线钛夹牵引辅助内镜黏膜下剥离术治疗早期胃角癌可为手术医师提供良好的操作视野,减少手术创伤,在提高病灶切除完整率的同时还能够有效减少围术期并发症,利于保证手术治疗的有效性、安全性,改善患者远期预后。
Objective To explore the clinical effect of endoscopic submucosal dissection assisted by titanium clip traction in the treatment of early gastric horn cancer.Methods A total of 54 patients with early gastric horn cancer who underwent endoscopic submucosal dissection in our hospital were divided into control group and study group according to different treatment methods,with 27 cases in each group.The control group was treated with endoscopic submucosal dissection,while the study group was treated with endoscopic submucosal dissection assisted by titanium clip traction.The therapeutic effects of the two groups were compared.Results The operation duration,postoperative gastric emptying time and gastrointestinal ventilation time in the study group were shorter than those in the control group,and the intraoperative blood loss volume was less than that in the control group(P<0.05).The whole resection rate and complete resection rate of the lesion in the study group were higher than those in the control group(P<0.05),but there was no significant difference in the histological curative resection rate of the lesion between the two groups(P>0.05).The total incidence of perioperative complications in the study group was lower than that in the control group(P<0.05).Follow-up for 12 to 18 months,there was no significant difference in the total recurrence rate of tumor between the two groups(P>0.05).Conclusion The endoscopic submucosal dissection assisted by titanium clip traction can provide good operation vision for surgeons in the treatment of early gastric horn cancer,reduce operation trauma,and effectively reduce the perioperative complications while improving the complete resection rate of the lesion,which is conducive to ensuring the effectiveness and safety of operative treatment and improving the long-term prognosis.
作者
王丽
吕婷
WANG Li;LYU Ting(Endoscopy Room,No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China;Gastroenterology Department,No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)
出处
《临床医学研究与实践》
2021年第23期46-48,共3页
Clinical Research and Practice
关键词
早期胃角癌
内镜黏膜下剥离术
带线钛夹牵引
early gastric horn cancer
endoscopic submucosal dissection
titanium clip traction
