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目的探讨早期食管癌内镜下诊断和治疗的临床价值及适应证。方法超声微探头联合黏膜染色,选择适合内镜切除的早期食管癌患者13例,经内镜微探头超声判断癌浸润深度,11例癌组织浸润黏膜层,2例癌组织浸润黏膜下层上1/3,均无淋巴结转移。使用双腔电子胃镜行内镜下黏膜切除术(EMR),观察疗效。结果 13例早期食管癌内镜下治疗均成功,未发生大出血、穿孔等并发症。随访时间超过2年无复发。结论早期食管癌病变局限于黏膜层及黏膜下层上1/3为 EMR的适应证,治疗较为安全。
Objective To investigate the clinical value and indications of endoscopic diagnosis and treatment of esophageal cancer. Methods Thirteen patients with early esophageal cancer who underwent endoscopic resection were selected by sonomicroscopy combined with mucosal staining. The depth of tumor invasion was evaluated by endoscopic ultrasonography, the invasion of mucosa in 11 cancer tissues and the invasion of 1 / 3, no lymph node metastasis. The use of double-chamber electronic endoscopic endoscopic mucosal resection (EMR), to observe the effect. Results The endoscopic treatment of 13 cases of early esophageal cancer were successful, no major bleeding, perforation and other complications. Follow-up time of more than 2 years without recurrence. Conclusion The early esophageal cancer lesions confined to the mucosa and submucosa on the 1/3 for the EMR indications, the treatment is relatively safe.