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目的探究多环黏膜切除术(MBM)对于食管癌癌前病变的治疗效果。方法 40例食管癌患者,随机分为观察组和对照组,各20例。观察组行内镜下MBM,对照组行常规内镜下黏膜剥离术(ESD)。比较两组患者手术时间、预后以及并发症的发生情况。结果观察组手术时间(37.9±6.8)min显著低于对照组(49.4±3.8)min,差异具有统计学意义(P<0.05);观察组并发症及复发率显著低于对照组,差异具有统计学意义(P<0.05)。结论 MBM可以降低手术时间,且手术安全,有效,降低并发症的发生及复发,值得推广应用。
Objective To investigate the therapeutic effect of multi-ring mucosal resection (MBM) on precancerous lesions of esophageal cancer. Methods Forty patients with esophageal cancer were randomly divided into observation group and control group, with 20 cases in each. The observation group underwent endoscopic MBM and the control group underwent conventional endoscopic mucosal dissection (ESD). The operation time, prognosis and complications of the two groups were compared. Results The operative time (37.9 ± 6.8) min in observation group was significantly lower than that in control group (49.4 ± 3.8) min, the difference was statistically significant (P0.05). The complication and recurrence rate in observation group were significantly lower than those in control group Significance (P <0.05). Conclusion MBM can reduce the operation time, and the operation is safe and effective, reducing the occurrence and recurrence of complications, which is worth popularizing and applying.