CAJ | 학술논문

目的：探讨内镜下治疗消化道早期肿瘤的临床效果和安全性。方法选取46例早期肿瘤患者，随机分为2组。观察组25例，使用内镜粘膜切除术或者内镜粘膜剥离术治疗，对照组21例，使用常规外科手术方式治疗，观察比较2组治疗效果。结果观察组平均手术时间以及出血量均低于对照组，组间对比差异具有统计学意义（P＜0.05）；随访结果显示，观察组病灶残留3例，对照组病灶残留9例，2组患者病灶残留率对比差异具有统计学意义（P＜0.05）；观察组随访期间复发1例，对照组复发7例，2组患者复发率对比差异具有统计学意义（P＜0.05）。结论内镜下治疗消化道早期肿瘤具有安全高效的优势,极具临床推广应用价值。
목적：탐토내경하치료소화도조기종류적림상효과화안전성。방법선취46례조기종류환자，수궤분위2조。관찰조25례，사용내경점막절제술혹자내경점막박리술치료，대조조21례，사용상규외과수술방식치료，관찰비교2조치료효과。결과관찰조평균수술시간이급출혈량균저우대조조，조간대비차이구유통계학의의（P＜0.05）；수방결과현시，관찰조병조잔류3례，대조조병조잔류9례，2조환자병조잔류솔대비차이구유통계학의의（P＜0.05）；관찰조수방기간복발1례，대조조복발7례，2조환자복발솔대비차이구유통계학의의（P＜0.05）。결론내경하치료소화도조기종류구유안전고효적우세,겁구림상추엄응용개치。
Objective To explore the clinical effect of endoscopic treatment early gastrointestinal tumors, and security. Methods Selection of 46 patients with early tumor, were randomLy divided into two groups. Observation group 25 cases, the use of endoscopic mucosal resection or endoscopic mucosal stripping treatment, control group 21 cases, using conventional surgical treatment, compare two groups of therapeutic effect. Results The average operation time and blood loss observation group were lower than the control group, comparing differences between groups with statistical significance (P<0.05);Follow-up, according to the results of observation group lesions residue in 3 cases, the control residual lesions 9 cases, two groups of patients with lesions residue rate comparison differences statistically significant (P<0.05); Observation group 1 case of recurrence during the follow-up period, 7 cases of control group recurrence, two groups of patients with recurrence compared differences statistically significant (P<0.05). Conclusion Early endoscopic treatment of gastrointestinal tumor has the advantages of safe and effective clinical application and dissemination value.