【摘 要】
：
Background and study aims: Nowadays,there are few reports indicating whether early esophageal cancers with near-circumferential lesions are still appropriate for the ESD procedure.The aim of the prese
【机 构】
：
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, Chin
【出 处】
：
第17届西南地区消化病学术会议暨2014贵州省消化病及消化内镜学术年会
论文部分内容阅读
Background and study aims: Nowadays,there are few reports indicating whether early esophageal cancers with near-circumferential lesions are still appropriate for the ESD procedure.The aim of the present study was to investigate the feasibility of ESD for the removal of early esophageal cancer with near-circumferential lesions and to evaluate the efficacy and safety of this treatment.Patients and methods: Between November 2009 and December 2013,a total of 40 patients with early esophageal cancers were treated with ESD.The characteristics of the patients,the ESD procedure variables,the rates of en bloc resection,and the major complications were evaluated.The outcomes listed were reliably followed up,and postoperative endoscopic balloon dilation was conducted to treat the esophageal strictures.Results: The median longitudinal diameter of the lesions was 50 mm.The extent of the lesions as a proportion of the whole circumference of the esophageal lumen ranged from three-quarters (18/40) to four-fifths (4/40) and complete circumference (18/40).The median duration of the ESD procedure was 92.5 min.The en bloc resection rate was 100% (40/40).Immediate bleeding,perforation and postoperative stenosis were noted in 7.5% (3/40),7.5% (3/40) and 45% (18/40) of the patients.The median number of endoscopic balloon dilations (EBDs) was 4 (range 1-14).Conclusions: The present study demonstrates that ESD may be a useful and safe treatment for the removal of early esophageal cancers with near-circumferential lesions.These data will greatly expand the criteria for the use of ESD in esophageal cancer and increase the number of patients eligible for endoscopic treatment and the acceptance of the ESD procedure.
其他文献
目的：观察黄芪注射液对慢性肾盂肾炎病人免疫应答的影响.方法：选择慢性肾盂肾炎患者90 例,按照随机分组原则分成西药组和中药干预组.西药组每天口服左旋氧氟沙星胶囊0.1g,连续服用12 周.中药干预组在西药组的治疗基础上,静脉滴注生理盐水100 毫升+黄芪注射液20 毫升2 周,间隔2 周后重复使用,共完成3 疗程.
五苓散概述慢性肾脏病综合症五苓散治疗肾病综合症五苓散治疗CKD蛋白尿五苓散治疗CDK高血压五苓散治疗糖尿病肾病五苓散与透析充分性其他五苓散出自仲景《伤寒杂病论》,为其书中治疗水肿病的重要方剂.组成:泽泻、茯苓、猪苓、白术、桂枝
慢性肾病的过程中,感染是最常见的并发症,尤其激素和免疫抑制使用后更易并发感染 文献报道感染已成为ESRO患者死亡的第2为病因,仅次于心血管疾病 慢性肾病过程中合并的感染,一是治疗困难,二是严重影响肾病的治疗和预后,属于肾病治疗中的疑难问题,应引起高度重视
目的:对泼尼松联合不同剂量的来氟米特治疗IgA 肾病患者的疗效及安全性进行分析.方法:将年龄18～60 岁,24 小时尿蛋白定量≥3.5g,血肌酐≤186umol/L 的IgA肾病患者90 例,随机分为3 组,每组30 人,1 组患者给予泼尼松联合来氟米特10mg,2 组给予泼尼松联合来氟米特20mg,3 组给予泼尼松联合来氟米特30mg,治疗12 个月,收集患者治疗前及患者每月的血常规、肝肾功能
目的：观察血浆吸附灌流(PP)联合血浆置换(PE)的组合型人工肝方法治疗肝衰竭和高胆红素血症的临床疗效.方法：将PP 和使用少量血浆(血浆量1500ML)的PE 联合，在1 次治疗模式(联合组)中完成，治疗15 例30 例次肝衰竭和高胆红素血症患者，检测治疗前、结束时患者血总胆红素、总胆汁酸、PTA、ALB 及WBC 水平，并观察不良反应发生情况，与同期进行的10 例25 例次单纯PE(血浆量30
目的 观察并比较扣眼穿刺法和绳梯穿刺法对维持性血液透析患者动静脉内瘘使用情况的影响.方法 选择2010 年1 月—2014 年12 月在广西中医药大学第一附属医院进行血透患者100 例.男56 例，女44 例，平均年龄(52.4±22.4)岁，透析龄2～10 年.
Objective: To investigate the effectiveness and practicality of the therapy of refractory wounds with vacuum sealing drainage technique (VSD).Methods: First,VSD is applied to prepare of wounds and the
上睑下垂是一种严重影响美容的常见病，由于对人的外观影响大，病患求医迫切，常需手术治疗。临床上对提上睑肌肌力4mm以上的，通常选择提上睑肌缩短术，其中肌力大于等于10mm的，则可选择提上睑肌腱膜折叠术，或睑板Muller‘s肌切除术等，而对于提上睑肌肌力几乎完全丧失的上睑下垂，借助额肌力量矫正上睑下垂是唯一理想的手术方法 。我们选择用眉区额肌筋膜瓣作上睑下垂矫正术，治疗提上睑肌肌力小于4mm以下上睑
目的：通过分析近9年来遵义医学院附属医院(我院)及遵义市第一人民医院60岁及以上的结核性腹膜炎患者的临床特点，探讨其诊疗方法，力求及时诊断，减少误诊、漏诊率.方法：选取遵义医学院附属医院(我院)2005年2月至2014年2月60岁及以上结核性腹膜炎病例45例，以及遵义市第一人民医院同期60岁及以上结核性腹膜炎病例53例，共计98例，集中对其临床表现、辅助检查、误诊及漏诊情况进行回顾性分析、总结.结
Purposes The goal of this report is to stress the diagnosis suspicion of jaundice and recurrent acute pancreatitis as a result of carcinoma of pancreatic head,especially when clinical and laboratory i