早期胃癌的内镜下诊断和治疗

Gastroscopy in the Diagnosis and Treatment of Early Gastric Carcinoma

摘要: 目的：探讨早期胃癌的内镜下诊断及治疗的可行性。方法：回顾性分析我院和河北医科大学第四医院住院并接受内镜检查确诊的早期胃癌患者32例，收集、分析其内镜下诊疗相关的各项指标和随访资料。结果：内镜检查确诊早期胃癌32例，镜下大体形态：隆起型14例，表浅型9例，凹陷型9例。病灶直径4 mm至20 mm。所有病例均顺利于全麻下行内镜下黏膜切除术，术中、术后未出现穿孔、严重出血等情况；术后随访结果：32例患者2年内均未出现癌肿复发。结论：电子胃镜在早期胃癌的筛查和鉴别诊断中，具有较高的敏感性；同时，应用内镜下黏膜下切除术治疗早期胃癌，癌肿复发率低，手术方案可行。

Abstract: Objective: To investigate the effect of gastroscope diagnosis and the feasibility of endoscopic mu-cosal resection in the treatment of early gastric carcinoma. Methods: To review 32 cases in our hospital and the Fourth Hospital of Hebei Medical University diagnosed as early gastric carcinoma by endoscopy, to collect and analyze each index related and follow-up data of the endoscopic di-agnosis and treatment. Results: The gastroscope examination confirmed the diagnosis of 32 cases of early gastric cancer. Endoscopic morphology: 14 cases were uplift type; 9 cases were superficial lesions; 9 cases were depressed lesion type, with the diameter ranged from 4 mm to 20 mm. The endoscopic mucosal resection under general anesthesia in all cases was successful. There is no perforation or hemorrhage found during and after operation. The follow-up results: No recurrence of cancer was found in 2 years postoperative. Conclusions: Electronic gastroscope in the screening and diagnosis of early gastric cancer has a high sensitivity; at the same time, the application of endoscopic submucosal resection of early gastric cancer is feasible.