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目的:比较优化的混合内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)与传统ESD的优劣。方法:回顾性分析2013年7月—2016年6月南京医科大学附属苏州医院60例基底直径>2 cm的巨大息肉进行内镜下治疗,其中优化的混合ESD治疗32例,传统ESD治疗28例,比较两种治疗方法的治疗时间、整块切除率、复发率、出血率、穿孔率。结果:优化的混合ESD治疗时间较传统ESD短,整块切除率、复发率、出血率、穿孔率无差异。结论:优化的混合ESD可以缩短手术时间,值得ESD初学者使用,可以作为传统ESD失败后的补救治疗。
Objective: To compare the advantages and disadvantages of optimized endoscopic submucosal dissection (ESD) with traditional ESD. Methods: From July 2013 to June 2016, 60 patients with giant polyps> 2 cm in diameter at Suzhou Hospital Affiliated to Nanjing Medical University were treated with endoscopic therapy. Among them, 32 were treated with mixed ESD and 28 were treated with traditional ESD , Compared the treatment time of two treatment methods, the whole block resection rate, recurrence rate, bleeding rate, perforation rate. Results: The optimized hybrid ESD treatment time was shorter than traditional ESD. There was no difference in the rate of complete resection, recurrence, bleeding and perforation. Conclusion: Optimized hybrid ESD can shorten the operation time, is worth ESD for beginners, can be used as a remedy after the traditional ESD failure.