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时间:2020-05-02
《内镜黏膜下注射糖皮质激素联合扩张术治疗早期食管癌内镜黏膜下剥离术后狭窄的初步探索.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·732·生圄科杂壹2014年8月第14卷第8期ChinJMinInvSurg,August2014,Vo1.14.No.8短篇论著·内镜黏膜下注射糖皮质激素联合扩张术治疗早期食管癌内镜黏膜下剥离术后狭窄的初步探索马丽梅张银钱云范志宁(南京医科大学第二附属医院消化医学中心,南京210011)【摘要】目的探讨内镜黏膜下注射糖皮质激素联合扩张术治疗早期食管癌内镜黏膜下剥离(endoscopicsubmucosaldissection,ESD)术后狭窄的疗效。方法回顾性分析2009年1月一2013年1月20例早期食管癌ESD术后狭窄患者资料,内镜黏膜下注
2、射地塞米松5mg(用生理盐水稀释至8ml,分4点注射,每点2m1)联合扩张术(观察组)和单纯扩张术(对照组)各1O例,随访6个月,比较2组再狭窄发生的时间。结果2组操作均成功,观察组再狭窄发生时间(41.2±8.9)d,对照组为(28.2±5.8)d(t=3.875,P=0.001)。结论内镜黏膜下注射糖皮质激素治疗早期食管癌ESD术后狭窄是安全且有效的,可延缓再狭窄时间。【关键词】狭窄;内镜黏膜下剥离术;糖皮质激素;早期食管癌中图分类号:R735.1文献标识:A文章编号:1009—6604(2014)08—0732—03doi:10.3969/i
3、.issn.1009—6604.2014.08.019ApplicationofEndoscopicSubmucosalTriamcinoloneInjectionCombinedwithDilationforPost·ESDEsophagealStrictureinPatientswithSuperficialEsophagealCancerMaLimei,ZhangYin,QianYun,eta1.DepartmentofGastroenterology,TheSecondAfiliatedHospitalofNangMedicalUniver
4、sity,Na4ing210011,ChinaCorrespondingauthor:FanZhining,E-mail:-厂。nzhining@hotmail.COrn【Abstract】ObjectiveToevaluateclinicalefficacyandvalueofendoscopictriamcinoloneinjectioncombinedwithdilationforpost—ESD(endoscopicsubmucosaldissection)esophagealstrictureinpatientswithsuperfici
5、alesophagealcancer.MethodsThisstudyretrospectivelyanalyzedclinicaldataof20casesofpost—ESDesophagealstrictureforsuperficialesophagealcancer.Amongthe20cases,10receivedendoscopictriamcinoloneinjection(5mgdexamethasonewasdilutedinto8mlwithnormalsaline,andwasinjectedatfourpointsint
6、hemucosalayer,with2mlperpoint)combinedwithdilation(observationgroup),another10receiveddilationaloneasthecontrolgroup.Allthecaseswereaveragelyfollowedupfor6months.Thetimetorestenosiswascomparedbetweenthetwogroups.ResultsAlltheproceduresofbothgroupsweresuccessfullycompleted.Thet
7、imetorestenosiswas(41.2±8.9)daysinobservationgroupand(28.2±5.8)daysincontrolgroup(t=3.875,P=0.001).ConclusionEndoscopictriamcinoloneinjectionforpost—ESDesophagealstrictureinpatientswithsuperficialesophagealcancerissafeandeffectiveandcandelaythetimeofrestenosis.【KeyWords】Strict
8、ure;Endoscopicsubmucosaldissection;Triamcinolone;Superficiale
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