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早期胃癌内镜下非治愈性切除危险因素及其管理的研究进展

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随着内镜技术的不断发展,内镜黏膜下剥离术(ESD)已经逐渐取代了传统的外科手术,成为早期胃癌的常规治疗方法.但近年来非治愈性切除(NCR)病例呈增多趋势.NCR与局部肿瘤复发、淋巴结转移、预后不良密切相关.NCR患者常需要接受额外的治疗,增加了患者的身体和经济负担.本文就早期胃癌内镜下NCR的危险因素及其管理的研究进展作一综述,旨在为早期胃癌临床治疗方案的选择提供一定参考.
Risk Factors and Management of Non-curative Endoscopic Resection of Early Gastric Cancer
With the development of endoscopic technology,endoscopic submucosal dissection(ESD)has gradually replaced traditional surgery and emerged as a standard treatment for early gastric cancer.However,in recent years,the number of non-curative resection(NCR)cases has been on the rise.NCR is closely associated with local tumor recurrence,lymph node metastasis,and poor prognosis.Patients with NCR often need to receive additional treatment,thereby increasing the physical and economic burden of the patients.This article reviewed the research progress of the risk factors and management of NCR in early gastric cancer patients treated with ESD,with the aim of providing some reference for the selection of clinical treatment regimens.

Stomach NeoplasmsEndoscopic Submucosal DissectionNon-Curative ResectionRisk Factors

徐诗宇、李学良

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南京医科大学第一附属医院消化内科(210029)

胃肿瘤 内镜黏膜下剥离术 非治愈性切除 危险因素

2024

胃肠病学
上海交通大学医学院附属仁济医院

胃肠病学

CSTPCD
影响因子:1.217
ISSN:1008-7125
年,卷(期):2024.29(5)