异物钳辅助内镜黏膜切除术治疗≤20 mm食管浅表型黏膜下肿瘤的有效性分析（含视频）

Efficacy of endoscopic mucosal resection with grasping forceps for esophageal superficial submucosal tumors ≤20 mm (with video)

摘要:

为探讨异物钳辅助内镜黏膜切除术（endoscopic mucosal resection with grasping forceps，EMR‑G）切除≤20 mm食管浅表型黏膜下肿瘤的治疗效果，回顾性分析2022年1月至2024年11月汕头市中心医院内镜中心收治的30例食管浅表型黏膜下肿瘤患者资料，按手术方式分为内镜黏膜下剥离术（endoscopic submucosal dissection，ESD）组和EMR‑G组，对比两组患者完整切除率、手术操作时间、手术费用、住院时间等情况。两组病例均达到完整切除。ESD组手术时间长于EMR‑G组［（25.53±3.29）min比（5.40±0.91）min］，差异有统计学意义（t=-22.83，P0.001）。ESD组手术费用多于EMR‑G组［（7 851.73±381.34）元比（2 355.53±210.76）元］，差异有统计学意义（t=-48.854，P0.001）。ESD组术后住院天数长于EMR‑G组［（2.02±0.53）d比（1.20±0.41）d］，差异有统计学意义（t=-4.583，P0.001）。EMR‑G治疗≤20 mm食管浅表型黏膜下肿瘤，可缩短手术时间，节省手术费用，减少术后住院天数，同时完整切除肿瘤，具有推广价值。

Abstract:

To evaluate the clinical efficacy of endoscopic mucosal resection with grasping forceps (EMR-G) for the treatment of superficial submucosal tumors of the esophagus with a diameter of ≤20 mm, clinical data of 30 patients with esophageal superficial submucosal tumors admitted to the Endoscopy Center of Shantou Central Hospital from January 2022 to November 2024 were retrospectively analyzed. Patients were divided into the endoscopic submucosal dissection (ESD) group and the EMR-G group according to the surgical method. The en bloc resection rate, operative time, surgical cost, and length of hospital stay were compared between the two groups. Complete resection was achieved in all cases of both groups. Compared with the ESD group, the EMR-G group showed significantly shorter operative time (5.40±0.91 min VS 25.53±3.29 min, t=-22.83, P0.001), lower surgical costs (2 355.53±210.76 yuan VS 7 851.73±381.34 yuan, t=-48.854, P0.001), and shorter postoperative hospital stay (1.20±0.41 d VS 2.02±0.53 d, t=-4.583, P0.001). EMR-G treatment for superficial submucosal tumors of the esophagus with a diameter of ≤20 mm can shorten the operation time, save surgical costs, reduce the postoperative hospital stay, and achieve complete tumor resection, which is of promotional value.