尹龙龙;韩树堂;

• 1:南京中医药大学
• 2:江苏省中医院

摘要(Abstract)：

结直肠癌大多起源于结直肠早癌及腺瘤等癌前病变,若在发展到浸润癌之前发现并予以切除,即可取得预防或根治效果。随着内镜技术的发展,尤其是EMR/ESD技术的不断成熟,从早期诊断到治疗及预后,与传统开腹手术相比优点突出,但要严格把握其适应症,由于技术难度大,出血、穿孔等是常见并发症。EMR/ESD是经济、安全、可靠的治疗结直肠早癌及癌前病变的方法,同时中药治疗疗效肯定。

关键词(KeyWords)： 结直肠早癌;癌前病变;EMR/ESD;中医药疗法

Abstract:

Keywords:

基金项目(Foundation): 江苏省科技支撑计划项目(BL2012072)

作者(Author): 尹龙龙;韩树堂;

Email:

DOI: 10.13463/j.cnki.jlzyy.2015.04.018

参考文献(References)：

• [1]中华医学会消化内镜学分会肠道学组.中国早期大肠癌内镜诊治共识意见[J].中华消化内镜杂志,2008,25(12):617-620.
• [2]周平红,姚礼庆,张轶群.内镜下黏膜剥离术在早期大肠癌及癌前疾病的应用[J].中国实用外科杂志,2011,31(6):491-493.
• [3]刘正新.内镜下黏膜切除术和内镜下黏膜下剥离术[J].中国消化内镜,2007,1(1):44-49.
• [4]JEFFERY J.MORKEN,NANCY N,BAXTER.Endorectal ultrasound-directed biopsya:ecurrence of rectal cancer[J].Int J Colorectal Dis,2012,21(3):258-264.
• [5]周平红,姚礼敬.微探头超声对下消化道疾病的诊断价值[J].中华消化内镜杂志,2002,19(4):205-207.
• [6]SAITO Y,FUKUZAWA M,MATSUDA T,et al.Clinical outcome of endoscopic submucosal dissection versus endoscopic mucosal resection of large colorectal tumors as determined by curative resection[J].Surg Endosc,2010,24(2):343-352.
• [7]TANAKA S,TERASAKI M,KANAO H,et al.Current status and future perspectives of endoscopic submucosal dissection for colorectal tumorsi[J].Dig Endose,2012,24(Suppl 1):73-79.
• [8]PULI S R,KAKUGAWA Y,SAITO Y,et al.Successful complete cureen-bloc resection of large nonpedunculated colonic polyps by endoscopic submucosal dissection:a meta-analysis and system-atic review[J].Ann Surg Oncol,2012,16(8):2147-2151.
• [9]NONAKA K,NISHIMURA M.Comparison of endoscopic submucosal dissection using sodium hyaluronate and needle-knife versus endo-scopic[J].Gastrointestinal Endoscopy,2010,67(5):135-139.
• [10]CHO K B,JEON W J,KIM J J.Worldwide experiences of endoscopics ubmucosal dissection:notiust Eastern acrobatics[J].World J Gastroenterol,2011,17(21):2611-2617.
• [11]TSUDA S.Complications related to endoscopic submucosal dis-section(ESD)of colon and rectum and risk management proce-dures(in Japanese with English abstract)[J].Early Colorectal Cancer,2011,10(6):539-550.
• [12]KUROKI Y,HOTEYA S,MITANI T,et al.Endoscopic submucosal dissection for residual/locally recurrent lesions after endoscopic therapy for colorectal tumors[J].J Gastroenterol Hepatol,2010,25(11):1747-1753.
• [13]GOTODA T,YAMAMOTO H,SOEFIKNO R M.Endoscopic submucosal dissection of early gastric cancer[J].Gastroenterol,2008,41(2):929-942.
• [14]叶晔,沈敏鹤,阮善明,等.吴良村治疗肠癌经验撷菁[J].中华中医药学刊,2010,28(4):832-734.
• [15]曹洋,刘展华,陈志坚.陈锐深教授治疗大肠癌的经验[J].中医药学刊,2005,23(10):1750-1751.