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内镜粘膜下剥离术(Endoscopic submucosal dissection,ESD),是近年来出现的一项新的治疗手段,也是临床应用前景很好的技术,让更多的早期消化道癌能够在内镜下一次性完全切除,免除了开腹手术的痛苦和器官的切除。ESD与剖腹手术及以往EMR等内镜治疗方法比较具有创伤小、患者可接受多个部位多次治疗、使医生获得完整的组织病理标本以供分析、对于面积较大且形态不规则或合并溃疡、瘢痕的肿瘤进行96%以上的切除率,以减小复发概率的优点。因此,仔细了解ESD治疗操作步骤,严格遵守操作规程,掌握正确的操作流程,认真做好术前术中术后护理,减少因护理不当而导致的各种护理缺陷和意外,促进病人尽快的康复,是非常重要的。
Endoscopic submucosal dissection (ESD) is a new treatment that has emerged in recent years. It is also a promising technique for clinical application, so that more early gastrointestinal cancers can be treated endoscopically Complete resection, eliminating the pain of open surgery and organ removal. ESD compared with laparotomy and previous EMR endoscopic treatment methods such as trauma is small, the patient can accept multiple treatment multiple times, so that doctors get a complete histopathological specimens for analysis, for larger and irregular or with ulcer , Scar tumors more than 96% resection rate, in order to reduce the probability of recurrence advantages. Therefore, a careful understanding of the steps of ESD treatment, strict compliance with operating procedures, master the correct operation flow, conscientiously do a good job in preoperative and postoperative care, to reduce due to improper care caused by a variety of nursing defects and accidents, and promote patient recovery as soon as possible ,is very important.