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目的:探讨内镜套帽法切除早期食管、胃癌及癌前病变的应用价值。方法:1996年9月～2003年9月采用套帽法切除早期食管、胃癌及癌前病变89例,术前、术后均经病理证实。结果:随访5年以上17例,3～5年10例,1～3年38例,不足1年24例,非癌死亡5例,未见癌复发。结论:套帽法完全切除率较高,操作较简单,优于其他方法;病灶显示及切除技巧是影响完全切除的主要因素;适量粘膜下注药,掌握高频电切除技术等是预防并发症的关键;中度不典型增生短期复查无好转和重度不典型增生,应内镜治疗;内镜粘膜切除治疗在食管胃癌防治策略中具有重要价值和意义。
Objective: To investigate the value of endoscopic sleeve-caps for resection of early esophagus, gastric cancer and precancerous lesions. Methods: From September 1996 to September 2003, 89 cases of early esophageal cancer, gastric cancer and precancerous lesions were resected by the method of bingoing, which was confirmed by pathology before and after operation. Results: Followed up for more than 5 years in 17 cases, 3 to 5 years in 10 cases, 1 to 3 years in 38 cases, less than 1 year in 24 cases, non-cancer death in 5 cases, no cancer recurrence. CONCLUSION: The method of the cupping method has a high rate of complete resection and is simpler to operate than other methods. The indication of the lesion and the technique of resection are the main factors affecting the complete resection. The proper submucosal injection and the mastectomy of high frequency resection are the complications Of the key; moderate dysplasia short-term review no improvement and severe dysplasia, endoscopic treatment; endoscopic mucosal resection in the prevention and treatment of esophageal cancer strategy has an important value and significance.