emr与esd治疗结直肠侧向发育型肿瘤疗效的meta分析

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1、授予单位代码10089学号或申请号20153147专业代码R574.6HebeiMedicalUniversity硕士学位论文专业学位EMR与ESD治疗结直肠侧向发育型肿瘤疗效的Meta分析研究生：赵红靓导师：王娜教授专业：内科学二级学院：河北医科大学第二医院2018年3月目录中文摘要···········································································································1英文摘要··

2、·········································································································2研究论文EMR与ESD治疗结直肠侧向发育型肿瘤疗效的Meta分析前言···········································································································4资料与方法····

3、···························································································5结果···········································································································6附图·····················································

4、······················································9附表··········································································································14讨论··························································································

5、················16结论··········································································································19参考文献··································································································20综述结直肠侧向发育型肿瘤内镜治疗进展·······

6、·······································23致谢··················································································································33个人简历······························································································

7、············34中文摘要EMR与ESD治疗结直肠侧向发育型肿瘤疗效的Meta分析摘要目的：系统评价内镜下黏膜切除术(endoscopicmucosalresection,EMR)与内镜下黏膜剥离术(endoscopicsubmucosaldissection,ESD)治疗结直肠侧向发育型肿瘤(laterallyspreadingtumor,LST)的有效性及安全性。方法：全面检索Pubmed、Embase、theCochraneCentralRegisterControlledTrials、中国知

8、网、万方数据库，检索时限为2000年1月1日到2018年1月31日。按照一定的纳入及排除标准筛选文献，主要评价指标为整块切除率、完全切除率、手术并发症及术后复发率情况。结果采用RevMan5.3软件进行Meta分析。结果：最终纳入12篇文献。共3062例病灶(EMR:1906例,ESD:1156例)。EMR整块切除率42.8%(815/1906)低于ESD整块切除率95%(1098/1156)，差异