資源描述：
《殘胃癌前病變及早期癌內鏡下診斷治療與臨床分析》由會員上傳分享，免費在線閱讀，更多相關內容在學術論文-天天文庫。
1、授予單位代碼10089學號或申請?zhí)?5294中國圖書分類號R573.9HebeiMedicalUniversity碩士學位論文學術學位殘胃癌前病變及早期癌內鏡下診斷治療與臨床分析研究生：馬晶晶導師：張立瑋教授專業(yè)：內科學二級學院：第四醫(yī)院2018年3月目錄中文摘要·································································································1英文摘要···························································
2、······································5英文縮寫·································································································11研究論文殘胃癌前病變及早期癌內鏡下診斷治療與臨床分析前言·································································································12材料與方法···················
3、··········································································12結果·································································································14附圖·································································································20附表·············
4、····················································································21討論·································································································25結論·································································································32參考文獻·
5、································································································32綜述內鏡在殘胃癌早期診治中的應用現(xiàn)狀及進展······························35致謝·································································································46個人簡歷·····································
6、····························································47殘胃癌前病變及早期癌內鏡下診斷治療與臨床分析摘要背景：殘胃是指胃、十二指腸良性或惡性疾病做胃切除術后的殘余部分。胃術后因生理解剖結構的破壞，致使患者易出現(xiàn)諸如殘胃炎、殘胃潰瘍，甚至殘胃癌等并發(fā)癥。隨著醫(yī)學知識的普及，人們認識到殘胃本身即是一種癌前病變。也有學者表示，發(fā)生殘胃癌是胃術后的必然規(guī)律，胃大部切除患者術后長期生存就有發(fā)生病變的可能。因此如何早期發(fā)現(xiàn)殘胃病變、殘胃早期癌并及時治療，對提高殘胃患者生存期尤關重要。目前殘胃患者通常以CT、超聲、內鏡等檢查及
7、血清學檢驗作為復查的選擇項目。在諸多檢查手段中，胃鏡檢查是觀察上消化道粘膜層病變的唯一方法，具有直視下完善病理活組織檢查的優(yōu)勢，同時合理有效的內鏡隨訪亦是早期發(fā)現(xiàn)殘胃癌前病變及早期癌的重要手段。殘胃癌失去再次手術患者可通過內鏡下治療達到提高總體胃癌生存率的目的；早期殘胃癌患者，可通過微創(chuàng)治療使殘胃病變干預治療更及時、有效，降低殘胃癌的發(fā)生。目的：本研究重點探討了殘胃癌前病變及早期癌與病程時限、部位、術式間相關性；分析了內鏡下殘胃癌前病變及早期癌形態(tài)特點及規(guī)律；了解殘胃重度異型增生
