CAJ | 학술논문

目的探讨分析内镜下黏膜切除术（EMR）治疗胃食管癌前病变的临床疗效。方法回顾性分析2009年1月至2011年5月我院收治的66例胃食管癌前病变患者的临床资料，术后评价EMR其手术的安全性及临床疗效。结果本组66例患者在内镜下黏膜切除术均一次性完整切除，成功率为100%；术后经病理检查61处与手术前病理结果相符，占82.4%。术后2例患者出血，经对症处理后痊愈，无食管狭窄及穿孔等严重并发症的发生。所有患者术后均获随访12个月，2例患者于术后半年复查胃镜发现食管内有新病灶，复发率为3.03%。结论内镜下黏膜切除术可有效切除胃食管癌前病灶，是预防胃食管癌发生、发展的主要手段，因其操作简单、创伤小、并发症少且安全、有效，可提高患者术后的生活质量，值得临床广泛应用。
목적탐토분석내경하점막절제술（EMR）치료위식관암전병변적림상료효。방법회고성분석2009년1월지2011년5월아원수치적66례위식관암전병변환자적림상자료，술후평개EMR기수술적안전성급림상료효。결과본조66례환자재내경하점막절제술균일차성완정절제，성공솔위100%；술후경병리검사61처여수술전병리결과상부，점82.4%。술후2례환자출혈，경대증처리후전유，무식관협착급천공등엄중병발증적발생。소유환자술후균획수방12개월，2례환자우술후반년복사위경발현식관내유신병조，복발솔위3.03%。결론내경하점막절제술가유효절제위식관암전병조，시예방위식관암발생、발전적주요수단，인기조작간단、창상소、병발증소차안전、유효，가제고환자술후적생활질량，치득림상엄범응용。
Objective Analysis of endoscopic mucosal resection (EMR) clinical efficacy for the treatment of stomach before esophageal lesions. Methods In January 2009to May 2011 were retrospectively analyzed in our hospital 66 cases of stomach, esophageal lesions in patients with clinical data, before the postoperative evaluation of EMR clinical efficacy and safety of its operation. Asaresult Our group sex under endoscopic mucosal resection of 66 cases were one-time complete resection, success rate is 100%;Postoperative pathological examination in 61 and before surgery pathology results, accounting for 82.4%. Postoperative bleeding, 2 cases recovered after symptomatic treatment, no perforation of the esophageal stenosis and severe complications. All patients have been followed up for 12 months after surgery, 2 patients with postoperative half year review of upper esophagus with new lesion, the recurrence rate was 3.03%. Conclusion Endoscopic mucosal resection can be effectively removed prior to the stomach esophagus cancer lesions, is a major means of prevention of stomach esophagus cancer occurrence, development, because of its simple operation, small trauma, fewer complications, and is safe, effective, and can improve the postoperative quality of life of patients, worthy of clinical application widely.