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目的 :探讨早期胃癌内镜切除术的临床应用价值。方法 :5例早期胃癌病人均行内镜检查、黏膜染色、病理检查、小探头超声检查 ,证实为早期胃癌后 ,行黏膜切除术。结果 :5例患者中 4例得到完全切除 ,1例术后病理提示切除断端仍有癌细胞残留 ,7d后重新做残蒂部黏膜扩大剥离术 ,术后无出血、穿孔等并发症的发生。结论 :内镜下黏膜切除术是一种安全有效的方法 ,小探头超声对病变深度的判断以及有无淋巴结转移具有决定性意义
Objective: To investigate the clinical value of endoscopic resection of early gastric cancer. Methods: Five cases of early gastric cancer patients underwent endoscopy, mucosal staining, pathological examination, sonotracheal sonography, confirmed as early gastric cancer, mucosal resection. Results: Four of the five patients were completely resected. One patient had residual tumor cells at the resection site after resection and 7 days later did resection of mucosa of the pedicle remnant. No postoperative bleeding, perforation and other complications occurred . Conclusion: Endoscopic mucosal resection is a safe and effective method. It is of decisive significance to determine the depth of lesion and lymph node metastasis with small probe ultrasound