采用内镜黏膜下剥离术(ESD)治疗食管早癌及癌前期病变的患者65例,其中64例成功切除,1例发生穿孔,60例整块切除,58例完整切除。术中发现卫星灶16例,术后病理较术前病理明显进展20例,其中发现早癌8例,术后狭窄4例。ESD是治疗食管早癌及癌前期病变的微创、较安全、有效的治疗方法,而且能获得准确的病理资料,可更好地评估病情。
This paper analyzed 65 cases of early esophageal carcinoma and precancerous lesion retrospectively based on endoscopic submucosal dissection(ESD). There were 64 cases whose esophagus cancer was removed suc- cessfully. One ease was perforated, 60 cases were removed en bloc, and 58 cases were completely excised. 16 ca- ses of satellite nodule were found during operation, and 20 cases had obvious postoperative pathological improve- ment. Among them, 8 cases were diagnosed with early cancer, and 4 cases were diagnosed with postoperative ste- nosis. ESD is not only a safe and effective method of minimally invasive treatment, but also may gain accurate path- ological data in order to assess the illness.