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早期胃癌的规范化内镜诊断及治疗
作者：方晓瑞
来源：《中外医疗》2016年第15期
[摘要] 目的探究早期胃癌的规范化内镜诊断及相关术式治疗效果。方法根据选用术式不同将整群该院2014年1月—2015年10月收治的66例早期GC患者分为观察组（36例）和对照组（30例），前者行超声内镜检查及内镜黏膜下剥离术治疗，后者行常规开腹手术治疗，
比较两组临床治疗效果。结果观察组患者平均手术时间、下床活动时间和住院时间均短于对照组，术中出血量少于对照组，术后并发症发生率（5.6%）低于对照组（16.7%），比较差异有统计学业意义（P
[关键词] 早期胃癌；超声内镜；内镜黏膜下剥离术
[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-0742（2016）05（c）-0110-02
[Abstract] Objective To study the standardized endoscope diagnosis of early gastric cancer and treatment effect of relevant operation methods. Methods 66 cases of early GC patients admitted and treated in our hospital from January 2014 to October 2015 were divided into two groups according to the different operative methods， the observation group （36 cases） received endoscopic ultrasonography and endoscopic submucosal dissection， the control group （30 cases） were treated with conventional laparotomy， and the clinical treatment effects were compared between the two groups. Results The average operative time， time of leaving bed and length of stay in the observation group were shorter than those in the control group， and the intraoperative blood loss in the observation group was less than that in the control group， the incidence rate of postoperative complications in the observation group was fewer than that in the control group，（5.6% vs
16.7%）， and the differences were obvious by comparison， P
[Key words] Early gastric cancer； Endoscopic ultrasonography； Endoscopic submucosal dissection
胃癌（GC）是常见消化道恶性肿瘤之一，其发生率和死亡率均较高，多数患者出现症状来诊时已进入到中晚期，错过了最佳治疗时机，临床对该类病症的早期诊断和治疗尤为重视，这也成为决定患者生命安全、改善预后的关键。近年来，随着内镜技术的快速发展以及在临床上的广泛应用，内镜手术现已成为早期GC诊治的重要手段，合理选择手术方式，规范化治疗，意义重大[1]。该研究整群收集该院2014年1月—2015年10月收治的66例早期GC患者的临床资料进行回顾性分析，旨在探讨内镜诊断及相关术式应用的临床疗效，现报道如下。
1 资料与方法
1.1 一般资料