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目的对直肠类癌治疗中内镜下黏膜切除术(EMR)、内镜下黏膜剥离术(ESD)的治疗效果进行分析。方法回顾性分析38例经内镜下诊断的直肠类癌患者的临床资料,对临床病理特征、切除率以及随访情况进行分析。结果 38例患者,行内镜下黏膜切除术20例,内镜下黏膜剥离术12例。病理学分析,内镜下黏膜切除术患者病变切除彻底,基底、边缘处无肿瘤累计,切除率100.0%(20/20),内镜下黏膜剥离术患者病理学分析,10例切除完整,切除率83.3%(10/12)。主要并发症为出血。术后随访,均未见复发,预后良好,未出现远处转移、淋巴结转移等情况。结论直肠类癌临床治疗中,内镜下黏膜切除术及内镜下黏膜剥离术切除成功率较高,且术后并发症出现可能性小,应在临床实践中进行推广。
Objective To analyze the therapeutic effect of endoscopic mucosal resection (EMR) and endoscopic mucosal dissection (ESD) in the treatment of rectal carcinoids. Methods Retrospective analysis of 38 cases of endoscopic diagnosis of rectal carcinoid patients with clinical data, clinical and pathological features, resection rate and follow-up analysis. Results 38 patients underwent endoscopic mucosal resection in 20 cases, endoscopic mucosal dissection in 12 cases. Pathological analysis, endoscopic resection of patients with complete removal of lesions, the tumor at the base, no tumor at the margin, the resection rate was 100.0% (20/20), endoscopic mucosal dissection in patients with pathological analysis of 10 cases of complete resection The rate was 83.3% (10/12). The main complication is bleeding. No recurrence was found after operation, and the prognosis was good. There was no distant metastasis or lymph node metastasis. Conclusion In the clinical treatment of rectal carcinoid tumors, endoscopic mucosal resection and endoscopic mucosal dissection resection success rate is high, and the possibility of postoperative complications is small, should be promoted in clinical practice.