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目的:探讨分析ESD、EMR在治疗胃食管早癌及癌前病变的效果。方法:选取2014年3月-2017年3月在我院治疗胃食管早癌及癌前病变的患者60例为研究对象,按随机数字表法分为对照组和观察组,每组30例。给予观察组患者ESD疗法进行治疗,给予对照组患者EMR疗法进行治疗,对比两组患者的手术数据及术后效果。结果:观察组患者的病灶直径、术中出血率均优于对照组(P<0.05);观察组患者的手术时间长于对照组(P<0.05);两组患者的穿孔率无显著性差异(P>0.05);观察组患者的一次切除率高于对照组(P<0.05);观察组患者的术后复发率低于对照组(P<0.05)。结论:在胃食管早癌及癌前病变的治疗过程中,采用ESD疗法虽手术耗费时间长,但患者的病灶直径、术中出血率、一次切除率及复发率均优于EMR疗法,值得临床进一步推广使用。
Objective: To investigate the effect of ESD and EMR in the treatment of gastroesophageal cancer and precancerous lesions. Methods: Sixty patients with gastroesophageal precancerous lesions and precancerous lesions in our hospital from March 2014 to March 2017 were selected as the research object. According to the random number table, the patients were divided into control group and observation group, 30 cases in each group. Patients in the observation group were treated with ESD therapy. Patients in the control group were treated with EMR therapy. The surgical data and postoperative effects were compared between the two groups. Results: The diameter of the lesion and the rate of intraoperative bleeding in the observation group were better than those in the control group (P <0.05). The operation time in the observation group was longer than that in the control group (P <0.05). There was no significant difference in perforation rate between the two groups P> 0.05). The resection rate of the observation group was higher than that of the control group (P <0.05). The recurrence rate of the observation group was lower than that of the control group (P <0.05). Conclusion: In the course of the treatment of gastroesophageal precancer and precancerous lesions, although the operation of ESD therapy takes a long time, the lesion diameter, intraoperative bleeding rate, primary resection rate and recurrence rate are superior to EMR therapy, which is worth to clinical To promote the use of further.