【摘要】 目的：探討内镜黏膜下隧道肿瘤切除术(STER)与内镜黏膜下剥离术(ESD)治疗对上消化道黏膜下肿瘤患者的创面愈合效果及术后并发症的影响。方法：将笔者所在医院2015年4月-2017年8月收治的88例确诊为上消化道黏膜下肿瘤患者作为研究对象，并通过随机数字表法将其分为对照组与观察组，每组44例。对照组采取ESD治疗，观察组应用STER治疗，术后随访观察并分析两组患者的创面愈合、术后疗效及术后并发症的情况。结果：观察组患者的创面长径、术后进食时间、总住院时间均优于对照组，差异均有统计学意义(P0.05)。术后，观察组有1例(2.27%)轻度颈部皮下气肿，无出血和感染情况，1例(2.27%)穿孔;对照组有3例(6.82%)轻度颈部皮下气肿，3例(6.82%)出血，2例(4.54%)感染，3例(6.82%)穿孔，观察组术后轻度颈部皮下气肿、感染、出血及穿孔等并发症发生率低于对照组，差异有统计学意义(P0.05).In the observation group，there was 1 case of mild subcutaneous emphysema of the neck accounted for 2.27%，no bleeding and infection，and 1 case of perforation accounted for 2.27% after operation.In the control group，there were 3 cases of mild subcutaneous emphysema of the neck accounted for 6.82%，3 cases of bleeding accounted for 6.82%，2 cases of infection accounted for 4.54% and 3 cases of perforation accounted for 6.82%.The incidence of mild subcutaneous emphysema of the neck，infection，bleeding and perforation in the observation group was lower than that in the control group after operation，the difference was statistically significant(P, http://www.100md.com(李光曙) 第 1 2 3 页 下一页
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