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目的:探讨在治疗早期胃癌及癌前病变患者中应用内镜手术的疗效。方法:选取2013年4月-2016年4月在医院收治的60例早期胃癌及癌前病变患者作为研究对象,入选患者根据手术类型进行分组,其中对照组30例患者给予常规根治手术,观察组30例应用内镜进行黏膜下剥离手术,比较两组患者治疗效果。结果:实验组患者的手术时间、住院时间明显比对照组短,术中出血量明显低于对照组,组间差异均具有统计学意义(P<0.05);观察组并发症总发生率(10.00%)显著低于对照组(20.00%),组间差异具有统计学意义(P<0.05)。结论:内镜手术治疗早期胃癌及癌前病变的疗效显著,值得在临床中推广应用。
Objective: To explore the efficacy of endoscopic surgery in patients with early gastric cancer and precancerous lesions. METHODS: 60 patients with early gastric cancer and precancerous lesions who were admitted to the hospital from April 2013 to April 2016 were selected as the study subjects. The selected patients were grouped according to the type of surgery. Among them, 30 patients in the control group were given conventional radical surgery and observation group. Thirty patients underwent endoscopic submucosal dissection and the effect of treatment was compared between the two groups. Results: The operative time and length of stay in the experimental group were significantly shorter than those in the control group. The amount of intraoperative blood loss was significantly lower than that of the control group. The difference between the groups was statistically significant (P<0.05); the total incidence of complications in the observation group was 10.00. %) was significantly lower than the control group (20.00%), and the difference between the groups was statistically significant (P<0.05). Conclusion: Endoscopic surgery is effective in the treatment of early gastric cancer and precancerous lesions. It is worthy of promotion in clinical practice.