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| ESTD术与EMR术治疗胃食管早癌的疗效对比及患者复发影响因素的logistics分析 |
| Comparison of curative effect between ESTD and EMR in the treatment of early gastric and esophageal cancer and logistic analysis of influencing factors of recurrence |
| 投稿时间：2020-05-12 修订日期：2020-09-02 |
| DOI： |
| 中文关键词: 胃食管早癌 疗效 复发 相关性 |
| 英文关键词:early gastric and esophageal cancer efficacy recurrence correlation |
| 基金项目: |
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| 中文摘要: |
| 探究并分析食管环周早癌经内镜下隧道式黏膜剥离术（ESTD）与内镜黏膜切除术（EMR）治疗胃食管早癌的疗效及患者复发影响因素的logistics分析。将201例胃食管早癌患者分为ESTD组（102例）及EMR组（99例）。结果显示，ESTD组切除大小、出血率、穿孔率均高于EMR组，而局部复发率低于EMR；不同浸润深度、并发症、首次标本切缘、分化程度患者胃食管早癌复发率差异显著，具有相关性。不同浸润深度、首次标本切缘、分化程度与胃食管早癌复发具有显著相关性，浸润深度的增加，切缘阳性及分化水平的降低均值得临床关注。 |
| 英文摘要: |
| To explore and analyze the logistics analysis of the curative effect of endoscopic tunnel mucosal stripping (ESTD) and endoscopic mucosal resection (EMR) in the treatment of early gastric and esophageal cancer and the influencing factors of recurrence. 201 patients were divided into two groups: ESTD group (102 cases) and EMR group (99 cases). The results showed that the resection size, bleeding rate and perforation rate in the ESTD group were higher than those in the EMR group, while the local recurrence rate was lower than that in the EMR group. There is a significant correlation between the different depth of invasion, the first specimen margin and the degree of differentiation and the recurrence of early gastric and esophageal cancer. The increase of the depth of invasion, the decrease of the positive margin and the level of differentiation deserve clinical attention. |
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