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目的调查胃上皮内瘤变与早癌内镜下黏膜切除术后的复发率,探析内镜下黏膜切除术的运用价值。方法选取38例行内镜下黏膜切除术的胃癌患者作为研究对象,对其临床治疗资料进行回顾性分析。结果 38例患者均切除病灶,病灶直径为0.6~2.5 cm,术后随访28个月,8例复发,复发率为21.1%。结论临床上在治疗胃上皮内瘤变与早期胃癌时,运用内镜下黏膜切除术具有较高的复发率,在条件允许的情况下,应该给予患者内镜下黏膜剥离术治疗,不仅复发率低,在一定程度上还能提高治疗效果,改善患者预后生活质量。
Objective To investigate the recurrence rate of gastric intraepithelial neoplasia and early carcinoma after endoscopic mucosal resection and explore the value of endoscopic mucosal resection. Methods Thirty-eight patients with endoscopic mucosal resection of gastric cancer were selected as the research object, and the clinical treatment data were retrospectively analyzed. Results All 38 patients underwent resection of the lesion. The diameter of the lesion was 0.6-2.5 cm. The follow-up period was 28 months. The recurrence rate was 21.1% in 8 patients. Conclusion In the treatment of intraepithelial neoplasia and early gastric cancer, the use of endoscopic mucosal resection has a high recurrence rate, where conditions permit, endoscopic mucosal dissection should be given to patients, not only the recurrence rate Low, to a certain extent, can improve the therapeutic effect and improve the prognosis of patients with quality of life.