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目的 探讨胃早癌经胃镜黏膜剥离术(ESD)治疗后的并发症的预防和处理方法。方法 选取该院2015年1月‐2016年12月收治的42例采用ESD治疗的早期胃癌患者为研究对象,对其手术方法进行分析,并总结术后处理方法、常见并发症的预防和处理。结果 该组患者的手术时间(40.5±19.4)min。有39例完整切除,3例病灶残留。术后无死亡病例,住院时间(11.5±2.5)d,3例迟发性出血,4例转外科手术。结论 ESD治疗早期胃癌的疗效较好,术中、术后提高预防观念能够减少术后并发症的发生。
Objective To investigate the prevention and treatment of complications after gastroscope mucosal dissection (ESD) treatment of gastric cancer. Methods Forty-two patients with early-stage gastric cancer treated with ESD from January 2015 to December 2016 in our hospital were selected as the research object. The surgical methods were analyzed and the postoperative management and prevention and treatment of common complications were summarized. Results The operation time of this group was (40.5 ± 19.4) min. There are 39 cases of complete resection, 3 cases of residual lesions. No postoperative deaths, hospitalization time (11.5 ± 2.5) d, 3 cases of delayed bleeding, 4 cases of surgery. Conclusion ESD treatment of early gastric cancer is better, intraoperative and postoperative to improve the concept of prevention can reduce the incidence of postoperative complications.