| 内镜黏膜下剥离术治疗消化道病灶56例疗效分析 |
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| 引用本文： | 吴大成,丁岩冰,邓彬,陈姚生,孙建宏,眭伟,陈海燕,赵烨.内镜黏膜下剥离术治疗消化道病灶56例疗效分析[J].胃肠病学和肝病学杂志,2011,20(2):158-160. |
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| 作者姓名： | 吴大成 丁岩冰 邓彬 陈姚生 孙建宏 眭伟 陈海燕 赵烨 |
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| 作者单位： | 1. 江苏省扬州市第一人民医院消化内科,江苏扬州,225001
2. 江苏省扬州市第一人民医院手术室,江苏,扬州,225001 |
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| 基金项目： | 江苏省科技厅自然科学基金资助项目(No.BK-2008221) |
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| 摘 要： | 目的探讨内镜黏膜下剥离术（ESD）治疗消化道病灶的疗效和安全性。方法内镜检查发现的消化道病灶病例患者为入选对象,术前行染色内镜和超声内镜检查,确定病变范围和深度,常规行术前评估,观察手术时间、手术成功率及并发症发生率,并进行术后随访。结果 2008年12月~2009年6月我院共实施ESD手术56例进入观察,切除标本平均直径（2.56±0.69）cm,平均手术操作时间（70.24±28.35）min;手术完整剥离成功率94.6%,术中穿孔发生率5.4%,迟发性穿孔率3.6%。1例发生迟发型出血,行手术治疗。术后随访率92.9%,随访患者中6个月内切面愈合率91.3%,12个月内切面愈合率达100%。结论 ESD治疗消化道病灶病变局部的复发率低,并发症少。
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| 关 键 词： | 内镜黏膜下剥离术 消化道病灶 随访 |
Effectiveness analysis of endoscopic submucosal dissection on 56 cases of gastrointestinal lesions |
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| WU Dacheng,DING Yanbing,DENG Bin,CHEN Yaosheng,SUN Jianhong,SUI Wei,CHEN Haiyan,ZHAO Ye.Effectiveness analysis of endoscopic submucosal dissection on 56 cases of gastrointestinal lesions[J].Chinese Journal of Gastroenterology and Hepatology,2011,20(2):158-160. |
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| Authors: | WU Dacheng DING Yanbing DENG Bin CHEN Yaosheng SUN Jianhong SUI Wei CHEN Haiyan ZHAO Ye |
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| Institution: | WU Dacheng1,DING Yanbing1,DENG Bin1,CHEN Yaosheng1,SUN Jianhong2,SUI Wei2,CHEN Haiyan1,ZHAO Ye2 1.Department of Gastroenterology,2.Operating Room,Yangzhou First People's Hospital,Yangzhou 225001,China |
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| Abstract: | Objective To assess the effectiveness and safety of the technique of endoscopic submucosal dissection(ESD) on gastrointestinal lesions.Methods The patients with gastrointestinal lesions detected by endoscopy were enrolled.Chromoendoscopy and endoscopic ultrasonography were applied to confirm the extent and depth of the lesions.All the patients were practiced routine preoperative evaluation.The operation time,the En bloc resection rates and complications were detected.All cases post-ESD were followed up.Resu... |
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| Keywords: | Endoscopic submucosal dissection Gastrointestinal lesion Follow-up |
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