摘要：目的探讨对消化道肿瘤患者进行内镜黏膜下剥离术的临床效果及安全性。方法搜集2011年4月~2013年4月我院接收的消化道肿瘤41例患者，对其进行内镜黏膜下剥离术，观察41例患者的临床效果。结果41例患者中， 38例均为完整剥离，成功率为92.68%。患者手术平均时间为(49.51±23.27)min，术中出血量平均为(85.41±12.17)ml，并发症的发生率为4.88%。术后6个月，1例结肠肿瘤患者出现复发，复发率为2.44%。有统计学意义(P<0.05)。结论对消化道肿瘤患者实施内镜黏膜下剥离术，临床效果较好，安全性较高，且有效、可靠，值得推广。

    关键词：消化道肿瘤；内镜黏膜下剥离术；临床治疗；疗效；安全性

    Analysis of Curative Effect of Endoscopic Submucosal Dissection in the Treatment of Gastrointestinal Tumor

    TANG Ya-jing

    (Department of Gastroenterology,The First People's Hospital of Yueyang City,Yueyang 414000,Hunan,China)

    Abstract：ObjectiveTo study on patients with digestive tract tumor by endoscopic mucosal clinical efficacy and safety of dissection. MethodsWe collected in 2011 April ~2013 in digestive tract tumor in our hospital in April received 41 patients, endoscopic submucosal dissection of the, clinical observation of 41 cases. Results41 cases, 38 cases were completely stripped, the success rate is 92.68%. The average time of operation for patients (49.51±23.27) min, the amount of bleeding averaged (85.41±12.17) ml, the incidence of complications was 4.88%. 6 months after operation, 1 cases of colon cancer patients with recurrence, the recurrence rate was 2.44%. The results were statistically significant (P<0.05). ConclusionThe digestive tract tumor treated with endoscopic submucosal dissection, clinical effect is good, high security, reliable, and effective, worthy of promotion. ......