Objective To analyze the effect of the application of digestive endoscopic submucosal dissec-tion on the effect of lesion resection in the treatment of patients with early esophageal cancer.Methods A total of 100 patients with early esophageal cancer admitted to Jilin Province Cancer Hospital from April 2021 to May 2023 were selected as the study objects.They were divided into the control group(n=51,endoscopic fragmenta-tion mucosal resection)and the observation group(n=49,endoscopic submucosal dissection)by random enve-lope method.Perioperative indexes,total complication rate and lesion resection effect of the two groups were compared.Results The operation time(56.47±6.37)min,postoperative fasting time(1.98±0.42)d and hospi-talization time(6.94±1.94)d in the observation group were shorter than those in the control group(70.25±7.36)min,(2.21±0.25)d,(7.94±2.04)d,and the differences were statistically significant(t=9.994,3.343,2.510,all P<0.05).There was no significant difference in the duration of antibiotic use and total incidence of complications between the two groups(both P>0.05).The whole lesion resection rate(93.88%)and curative le-sion resection rate(87.76%)in observation group were higher than those in control group(72.55%,70.59%),and the differences were statistically significant(χ2=8.057,4.439,both P<0.05).Conclusion Digestive endo-scopic submucosal dissection for the treatment of early esophageal cancer can shorten the operation time,post-operative fasting time and hospitalization time,will not increase the rate of complications,has higher safety,and the effect of lesion resection is more significant.
关键词
早期食管癌/内镜分片黏膜切除术/消化内镜黏膜下剥离术/围术期指标/并发症
Key words
Early esophageal cancer/Endoscopic fractional mucosal resection/Digestive endoscopic submucosal dissection/Perioperative index/Complications
维普
万方数据