首页|EFTR-C与ESE治疗≤1.5 cm腔内生长型胃间质瘤的疗效分析

EFTR-C与ESE治疗≤1.5 cm腔内生长型胃间质瘤的疗效分析

扫码查看
目的 比较透明帽辅助内镜全层切除术(EFTR-C)与内镜黏膜下挖除术(ESE)治疗≤ 1。5 cm腔内生长型胃间质瘤的有效性及安全性。方法 回顾性分析2019年6月至2023年9月该院治疗63例≤ 1。5 cm腔内生长型胃间质瘤患者的病历资料,根据手术方式分为EFTR-C组(n=33)和ESE组(n=30),对比两组一般资料、手术情况、术后情况、随访情况。结果 两组患者术中气腹率、荷包缝合率、整块切除率、完全切除率、并发症发生率比较差异无统计学意义(P>0。05),手术时间、术中出血率、钛夹数量、禁食时间、住院时间、手术费用比较差异有统计学意义(P<0。05)。两组患者术后创面愈合良好,无复发、转移及死亡。结论 对于≤1。5 cm腔内生长型胃间质瘤,EFTR-C相较ESE具有操作简单、手术时间短、费用低、恢复快等优势。
Analysis on effects of EFTR-C and ESE for treating≤1.5 cm intraluminal growth type gastric stromal tumor
Objective To compare the effectiveness and safety of transparency cap-assisted endoscopic full-thickness resection(EFTR-C)and endoscopic submucosal excavation(ESE)in the treatment of ≤1.5 cm intracavity growth type gastric stromal tumor.Methods A retrospective analysis was performed on the medi-cal records of 63 patients with ≤1.5 cm intraluminal growth type gastric stromal tumor treated in this hospi-tal from June 2019 to September 2023.The patients were divided into the EFTR-C group(n=33)and ESE group(n=30)according to surgical methods.The general data,operation situation,postoperative situation and follow-up were compared between the two groups.Results There was no statistically significant differ-ence in the intraoperative pneumoperitoneum rate,purse string suture rate,monoblock resection rate,complete resection rate and complication occurrence rate between the two groups(P>0.05).The operative time,inci-dence rate of intraoperative bleeding,number of titanium clips,postoperative fasting time,postoperative hospi-talization duration and operation costs had statistical difference between the two groups(P<0.05).Postoper-ative wound healing was good in both groups without recurrence,metastasis and death.Conclusion EFTR-C for the treatment of ≤1.5 cm intracavity growth type gastric stromal tumor has the advantages of simple op-eration,short operation time,low costs and rapid recovery compared with ESE.

gastric stromal tumorcap-assisted endoscopic full-thickness resectionendoscopic submu-cosal excavation

黄斌、付海晓、李滨、肖绪华

展开 >

桂林医学院附属医院消化内科,广西桂林 541001

桂林医学院附属医院病理科,广西桂林 541001

胃间质瘤 透明帽辅助内镜全层切除术 内镜黏膜下挖除术

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(17)