圈套器联合棉线牵引辅助在内镜黏膜下剥离上消化道早癌中的应用研究

Application of snare combined with cotton traction assisted endoscopic mucosal stripping of upper gastrointestinal early cancer

摘要:

摘要：目的??研究新型辅助技术圈套器联合棉线在内镜黏膜下剥离上消化道早癌病变中的应用研究。方法 回顾性研究2016年6月－2019年2月在该院内镜中心接受治疗的上消化道早癌患者40例，分为对照组和改良牵引组，每组各20例。对照组采用传统的内镜黏膜下剥离术（ESD），改良牵引组使用圈套器联合棉线牵引辅助行ESD，分别从手术完整切除率、手术时间、术中及术后并发症、术后平均住院天数等方面进行对比。结果 术前两组患者在年龄、性别构成、肿瘤部位及直径等方面差异均无统计学意义（P?>?0.05）。两组上消化道早癌患者完整切除率为100%。对照组手术时间为（73.95± 13.04）min，改良牵引组为（50.95±12.62）min，改良牵引组手术时间明显短于对照组，差异有统计学意义（t?=?4.74，P?

Abstract:

Abstract: Objective?To study the application of a new assisted technique snare in combination with cotton in treatment of early gastrointestinal digestive lesions under endoscopic submucosal dissection.?Methods?A retrospective study of 40 cases of upper gastrointestinal early cancer from June 2016 to February 2019 was conducted. The patients were divided into the control group and the modified traction group. The control group underwent traditional endoscopic submucosal dissection (ESD), while the modified traction group used a snare with cotton traction to assist with ESD, including complete resection rate, operative time, intraoperative and postoperative complications. The average number of hospital stays after surgery was compared.?Results?There were no significant differences in age, gender composition, tumor location and diameter between the two groups (P?>?0.05). The complete resection rate of 40 patients with upper gastrointestinal early cancer in the two groups was 100%. The operation time was (73.95?±?13.04) min, (50.95?±?12.62) min, and the operation time of the modified traction group was significantly shorter than that of the control group. The difference was statistically significant (t?=?4.74, P?