CAJ | 학술논문

回顾性分析2013年1月至2014年2月在扬州市第一人民医院接受多环黏膜套扎切除术(MBM)治疗的18例食管胃交界部(EGJ)早癌及癌前病变患者的临床资料,总结治疗效果及术后并发症发生情况.结果显示,18例患者均顺利完成手术,平均手术操作时间35.8 min.3例术中出血,内镜下成功止血;1例术中发生微小穿孔,以金属夹夹闭痊愈.术后病理诊断:5例为黏膜内癌,8例为高级别上皮内瘤变,5例为低级别上皮内瘤变.随访期间未见复发病例.提示,MBM可有效治疗EGJ早癌及癌前病变,具有安全、操作简便的优点.
회고성분석2013년1월지2014년2월재양주시제일인민의원접수다배점막투찰절제술(MBM)치료적18례식관위교계부(EGJ)조암급암전병변환자적림상자료,총결치료효과급술후병발증발생정황.결과현시,18례환자균순리완성수술,평균수술조작시간35.8 min.3례술중출혈,내경하성공지혈;1례술중발생미소천공,이금속협협폐전유.술후병리진단:5례위점막내암,8례위고급별상피내류변,5례위저급별상피내류변.수방기간미견복발병례.제시,MBM가유효치료EGJ조암급암전병변,구유안전、조작간편적우점.
Eighteen patients with early cancer and precancerous lesions of esophagogastric junction underwent multiband mucosectomy (MBM) in Yangzhou First People's Hospital from January 2013 to February 2014.The clinicopathological data of patients were analyzed retrospectively and the short-term efficacy and safety of MBM were evaluated.Operations were successful in all 18 cases.The mean operative time was 35.8 min.Intraoperative bleeding occurred in 3 cases and successfully managed by endoscopic hemostasis.Small perforation occurred in 1 patient and was closed by metal clips.Pathological examination showed mucosal cancer in 5 cases,high-grade intraepithelial neoplasia in 8 cases and low-grade intraepithelial neoplasia in 5 cases.No relapse of cancer was found during follow-up.Results indicate that MBM is an effective and safe method in treatment of early cancer and precancerous lesions in the esophagogastric junction.