不同内镜辅助治疗胃黏膜微小肿瘤的效果研究
Study on the Effect of Different Endoscopic Auxiliary Treatment of Gastric Mucosal Microtumor.
作者信息
Zhong Xiongping, Wang Fuqun, Zeng Dehui, Chen Yijin, Wang Shengbing
机构信息
Department of Gastroenterology, Meizhou People's Hospital, Meizhou, Guangdong Province, China.
出版信息
Evid Based Complement Alternat Med. 2022 Oct 11;2022:2557952. doi: 10.1155/2022/2557952. eCollection 2022.
OBJECTIVE
To explore the effect of endoscopy in the treatment of gastric mucosal microtumors.
METHODS
A total of 229 patients with gastric mucosal microtumors were treated in our hospital from January 2016 to December 2021. All patients were divided into three groups group A, group B, and group C. Group A was treated with a transparent cap combined with circle-assisted endoscopic resection, group B with ligator combined with circle-assisted endoscopic resection, and group C with endoscopic mucosal tumor resection. The effects of the three groups were observed.
RESULTS
There were 47 patients in group A, 17 males, and 30 females, aged 36-69 years, with an average age of 55.6 ± 9.2 years. There were 54 patients in group B, 18 males, and 36 females, aged 38-72 years, with an average age of 57.6 ± 7.7 years. There were 128 patients in group C, 29 males, and 99 females, aged 33-78 years, with an average age of 55.6 ± 8.4 years. There is no significant difference in age and sex between group A, group B, and group C ( > 0.05). The incidence of postoperative complications in group B (66.7%) was significantly higher than that in group A (57.4%) and group C (53.9%) (all < 0.05). The incidence of postoperative complications in group A (57.4%) was higher than that in group C (53.9%), and the difference was statistically significant ( < 0.05).
CONCLUSION
Endoscopic mucosal resection and ligation combined with circle-assisted endoscopic resection are effective and safe in the treatment of gastric mucosal microtumors, but it needs to be combined with targeted nursing measures. The transparent cap combined with ring-assisted endoscopic resection has a significant effect on the treatment of gastric mucosal micromasses, reducing operative complications.
目的
探讨内镜检查在胃黏膜微肿瘤治疗中的作用。
方法
2016年1月至2021年12月我院共收治229例胃黏膜微肿瘤患者。所有患者分为三组，A组、B组和C组。A组采用透明帽联合环辅助内镜切除术治疗，B组采用结扎器联合环辅助内镜切除术治疗，C组采用内镜黏膜肿瘤切除术治疗。观察三组的治疗效果。
结果
A组47例，男17例，女30例，年龄36 - 69岁，平均年龄55.6±9.2岁。B组54例，男18例，女36例，年龄38 - 72岁，平均年龄57.6±7.7岁。C组128例，男29例，女99例，年龄33 - 78岁，平均年龄55.6±8.4岁。A组、B组和C组在年龄和性别方面无显著差异（>0.05）。B组术后并发症发生率（66.7%）显著高于A组（57.4%）和C组（53.9%）（均<0.05）。A组术后并发症发生率（57.4%）高于C组（53.9%），差异有统计学意义（<0.05）。
结论
内镜黏膜切除术和结扎联合环辅助内镜切除术在胃黏膜微肿瘤治疗中有效且安全，但需要结合针对性的护理措施。透明帽联合环辅助内镜切除术对胃黏膜微小肿物治疗效果显著，可减少手术并发症。
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