{"id":29460,"date":"2024-04-09T00:01:06","date_gmt":"2024-04-09T00:01:06","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=29460"},"modified":"2024-04-09T00:01:06","modified_gmt":"2024-04-09T00:01:06","slug":"%e6%97%a9%e7%99%8c%e6%a1%86%e6%9e%b6-%e8%83%83%e6%97%a9%e7%99%8cer%e9%80%82%e5%ba%94%e7%97%87%e5%8f%8aecura%e8%af%84%e4%bb%b7","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=29460","title":{"rendered":"\u65e9\u764c\u6846\u67b6-\u80c3\u65e9\u764cER\u9002\u5e94\u75c7\u53caeCura\u8bc4\u4ef7"},"content":{"rendered":"

\u5173\u4e8e\u65e9\u764c\u8bca\u6cbb\u7684\u5927\u6846\u67b6\uff0c\u4ece\u7b2c1\u6b21\u5185\u955c\u7b5b\u67e5\u5230\u6cbb\u7597\u540e\u7684\u957f\u671f\u968f\u8bbf\uff0c\u6211\u60f3\u5e94\u5305\u542b\u5982\u4e0b\u53ca\u90e8\u5206\u5185\u5bb9\uff08\u6682\u4e14\u53ea\u60f3\u5230\u8fd9\u4e48\u591a\u4e86\uff09\uff1a\u5185\u955c\u57fa\u7840\uff08\u89c4\u8303\u7684\u6444\u56fe\u3001\u6d3b\u68c0\u3001\u62a5\u544a\u4e66\u5199\u53ca\u8d28\u63a7\uff09\u3001\u8bca\u65ad\uff08\u5305\u62ec\u6027\u8d28\u5206\u5316\u3001\u8303\u56f4\u3001\u6df1\u5ea6\u3001UL\uff09\u3001ER\u64cd\u4f5c\uff08\u9002\u5e94\u75c7\u7684\u628a\u63e1\u3001\u65e0\u7624\u539f\u5219+en bloc\u3001\u7b56\u7565\u53ca\u624b\u6280\uff0c\u4ee5\u53ca\u72ed\u7a84\u7b49\u5e76\u53d1\u75c7\u7684\u63a7\u5236\uff09\u3001\u75c5\u7406\u8bc4\u4f30\uff08\u51c6\u786e\u3001\u89c4\u8303\u7684\u75c5\u7406\u62a5\u544a\uff0ceCura\u7cfb\u7edf\uff09\u3001\u968f\u8bbf\uff08\u751f\u6d3b\u65b9\u5f0f\u8c03\u6574\u3001HP\u7684\u6839\u9664\u3001\u57fa\u56e0\u68c0\u6d4b\u3001\u5185\u955c\u76d1\u6d4b\uff09\uff0c\u65e9\u764c\u7684\u5b66\u4e60\u5c31\u50cf\u662f\u642d\u597d\u6846\u67b6\u540e\u518d\u5f80\u91cc\u9762\u4e00\u4e2a\u4e00\u4e2a\u585e\u6ee1\u4e1c\u897f\u3002\u524d\u9762\u5df2\u7ecf\u5b66\u4e60\u4e86\u98df\u7ba1\u65e9\u764c\u672f\u540e\u72ed\u7a84\u7684\u9884\u9632\u53ca\u5904\u7406\uff0c\u4eca\u5929\u5b66\u4e60\u80c3\u65e9\u764c\u7684ER\u9002\u5e94\u75c7\u53ca\u6cbb\u6108\u6027\u8bc4\u4ef7eCura\u3002<\/p>\n

\u9996\u5148\u4e86\u89e3ER\u7684\u201d\u9002\u5e94\u75c7\u201c\u76f8\u5173\u6982\u5ff5\uff1a\u7edd\u5bf9\u9002\u5e94\u75c7\uff1aER\u590d\u53d1\u7387\u4e0e\u5916\u79d1\u624b\u672f\u76f8\u4f3c\uff0c\u4e14\u6709\u957f\u671f\u968f\u8bbf\u8bc1\u636e\uff1b\u6269\u5927\u9002\u5e94\u75c7\uff1a\u4ece\u533b\u751f\u7684\u89d2\u5ea6\u8ba4\u4e3a\u53ef\u5207\u9664\uff08ER\u590d\u53d1\u7387\u4e0e\u624b\u672f\u76f8\u4f3c\uff09\uff0c\u4f46\u76ee\u524d\u590d\u53d1\u8f6c\u79fb\u7684\u957f\u671f\u968f\u8bbf\u6570\u636e\u4e0d\u8db3\uff0c\u6240\u4ee5ER\u4f5c\u4e3a\u80bf\u7624\u7684\u7814\u7a76\u6027\u6cbb\u7597\uff1b<\/p>\n

\u76f8\u5bf9\u9002\u5e94\u75c7\uff1a\u75c5\u53d8\u5e94\u8be5\u5916\u79d1\u624b\u672f\u5207\u9664\uff0c\u4f46\u60a3\u8005\u6709\u5176\u4ed6\u56e0\u7d20\u4e0d\u80fd\u8010\u53d7\u6216\u62d2\u7edd\u5916\u79d1\u624b\u672f\uff0c\u4e14ER\u4ecd\u53ef\u80fd\u5f97\u5230\u6cbb\u6108\u6027\u5207\u9664\u3002<\/p>\n

2021\u5e74\u65e5\u672c\u80c3\u80a0\u5185\u955c\u5b66\u4f1aJGES\u548c\u65e5\u672c\u80c3\u764c\u534f\u4f1aJGCA\u63a8\u51fa\u4e86\u6700\u65b0\u7b2c2\u7248\u300a\u65e9\u671f\u80c3\u764cEMR\/ESD\u6307\u5357\u300b\uff0c\u63d0\u51fa\u6700\u65b0\u7684ER\u9002\u5e94\u75c7\u548c\u76f8\u5e94\u7684eCura\u6cbb\u6108\u6027\u8bc4\u4f30\u7cfb\u7edf\uff0c\u5982\u4e0b\uff1a<\/p>\n

\u56fe1 ER\u9002\u5e94\u75c7 \u7b2c2\u7248\u672c\u5df2\u5c06\u201c\u22642cm UL0\u672a\u5206\u5316\u201d\u5212\u5230\u7edd\u5bf9\u9002\u5e94\u75c7<\/p>\n

\u56fe2 eCura\u53ef\u6cbb\u6108\u6027\u8bc4\u4f30\uff08eCuraA\/B\u4ecd\u9700\u7b26\u5408HM0\u3001VM0\u3001Ly0\u3001V0\u7684\u6761\u4ef6\uff09 <\/p>\n

\u6ce8\uff1a\u5982\u679csm\u7531\u6709\u672a\u5206\u5316\u6210\u5206\u5219\u4e3aeCuraC2<\/p>\n

\u56fe3 \u4f9d\u636eeCura\u7684\u672f\u540e\u6cbb\u7597\/\u968f\u8bbf\u7b56\u7565<\/p>\n

\u4f9d\u636eeCura\u8bc4\u4ef7\u7684\u5177\u4f53ESD\u672f\u540e\u7b56\u7565\uff1a<\/p>\n

eCuraA\uff1a\u6bcf\u5e74\u8fdb\u884c1-2\u6b21\u80c3\u955c\u68c0\u67e5\uff0c\u68c0\u6d4b\u5f02\u65f6\u764c\uff0c\u6839\u9664HP\uff1b<\/p>\n

eCuraB\uff1a\u6bcf\u5e74\u8fdb\u884c1-2\u6b21\u80c3\u955c+B\u8d85\/CT\u68c0\u67e5\uff0c\u6839\u9664HP\uff1b<\/p>\n

eCuraC-1\uff1a\u53ef\u9009\u62e9\u518d\u6b21ESD\u3001APC\u6216\u8005\u89c2\u5bdf\uff08\u8003\u8651\u7535\u5200\u5bf9\u5207\u7f18\u7684\u707c\u70e7\u4f5c\u7528\uff09\uff1b\u5982\u679c\u672a\u8ffd\u52a0\u6cbb\u7597\uff0c\u9700\u6bcf6\u6708\u8fdb\u884c\u4ed4\u7ec6\u7684\u5185\u955c\u968f\u8bbf\u76d1\u6d4b\uff1b<\/p>\n

eCuraC-2\uff1a\u8ffd\u52a0\u624b\u672f\u662f\u6807\u51c6\u6cbb\u7597\u65b9\u6cd5\uff0c\u539f\u5219\u4e0a\u5e94\u5efa\u8bae\u8ffd\u52a0\u624b\u672f\uff1b\u7279\u6b8a\u60a3\u8005\uff08\u9ad8\u9f84\u3001\u57fa\u7840\u75c5\u591a\u7b49\uff09\u4e0d\u80fd\u6216\u5916\u79d1\u624b\u672f\u98ce\u9669\u8f83\u9ad8\u65f6\uff0c\u53ef\u4f7f\u7528eCura\u7cfb\u7edf\u8bc4\u4f30LNM\u98ce\u9669\uff0c\u5e76\u5411\u60a3\u8005\u5145\u5206\u8bf4\u660e\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3001\u5c40\u90e8\u590d\u53d1\u3001\u8fdc\u5904\u8f6c\u79fb\u98ce\u9669\uff0c\u4ee5\u53ca\u590d\u53d1\u65f6\u7684\u6839\u6cbb\u56f0\u96be\u53ca\u9884\u540e\u4e0d\u826f\uff0c\u7531\u60a3\u65b9\u81ea\u884c\u51b3\u5b9a\u3002<\/p>\n

\u4e0b\u9762\u518d\u770b\u770beCura\u98ce\u9669\u8bc4\u4f30\u7cfb\u7edf\u3002\u5bf9\u4e8eeCuraC-2\uff0c\u8003\u8651\u5b58\u5728\u7684LNM\u98ce\u9669\u56e0\u6b64\u539f\u5219\u4e0a\u5747\u5efa\u8bae\u884c\u5916\u79d1\u624b\u672f\uff0c\u4f46\u8be5\u5efa\u8bae\u53ef\u80fd\u88ab\u8fc7\u9ad8\u63a8\u8350(eCuraC-2\u60a3\u8005\u63a5\u53d7\u6839\u6cbb\u6027\u624b\u672f\u7684\u60a3\u8005\u4e2d\u4ec55-10%\u53d1\u751fLNM)\uff0c\u56e0\u6b64\u7ed3\u5408\u4e00\u9879\u591a\u4e2d\u5fc3\u56de\u987e\u6027\u7814\u7a76\u7ed3\u679c\uff0c2017Waku Hatta\u7b49\u63d0\u51fa\u4e86\u7b80\u5355\u7684\u8bc4\u5206\u7cfb\u7edf\u4ee5\u51b3\u7b56ESD\u672f\u540e\u884c\u4e3aESD\u672f\u540e\u98ce\u9669\u8bc4\u5206\u7cfb\u7edfeCura system\uff0c\u5982\u4e0b\u56fe\u6240\u793a\uff1a<\/p>\n

\u56fe4 eCura\u98ce\u9669\u8bc4\u5206\u7cfb\u7edf \u8bc4\u5206\u3001\u5206\u7ec4\u3001LNM\u3001CSSeCura system\u8bc4\u5206\u7b97\u6cd5\uff1a\u6dcb\u5df4\u7ba1\u6d78\u6da63\u5206\uff0c\u80bf\u7624\u5927\u5c0f>30mm\u3001VM1\u3001V1\u3001SM2\u54041\u5206\uff0c\u672a\u5206\u5316\u6210\u5206\u6216UL1\u57470\u5206\u3002\u4f9d\u636e\u603b\u5f97\u5206\u5206\u4e3a3\u4e2aLNM\u98ce\u9669\u7ec4\uff1a\u4f4e\uff080-1\u5206\uff1a2.5%\u98ce\u9669\uff09\u3001\u4e2d\u7b49\uff082-4\u5206\uff1a6.7%\uff09\uff0c\u9ad8\uff085-7\u5206\uff1a22.7%\uff09\u3002\u8fd9\u4e9b\u7ec4\u7684\u764c\u75c7\u7279\u5f02\u6027\u751f\u5b58\u7387\uff08CSS\uff09\u6709\u663e\u8457\u5dee\u5f02\uff085\u5e74\u5206\u522b\u4e3a99.6%\u300196.0%\u548c90.1%; P <0.001\uff09\u3002\u56e0\u6b64\u57fa\u4e8eeCura system\uff0c\u5bf9\u4e8e\u4f4e\u98ce\u9669\u60a3\u8005\uff0c\u65e0\u9700\u989d\u5916\u6cbb\u7597\u7684ESD\u53ef\u80fd\u662f\u53ef\u63a5\u53d7\u7684\u9009\u62e9\uff08\u6570\u636e\u3001\u5efa\u8bae\u4ec5\u4f9b\u53c2\u8003\uff0c\u4e2a\u4eba\u7406\u89e3\uff1a\u539f\u5219\u4e0a\u5fc5\u987b\u9996\u5148\u5efa\u8bae\u624b\u672f\uff0c\u7136\u540e\u544a\u77e5\u9884\u4f30\u7684LNM\u3001CSS\uff0c\u5728\u5c3d\u5230\u5145\u5206\u544a\u77e5\u4e49\u52a1\u540e\u5c0a\u91cd\u60a3\u65b9\u610f\u613f\uff09\u3002<\/p>\n

\u5f15\u6587\uff1a<\/p>\n

[1] Ono H, Yao K, Fujishiro M, et al. Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer (second edition). Dig Endosc. 2021;33(1):4-20. <\/p>\n

[2] Hatta W, Gotoda T, Oyama T, et al. Correction: A Scoring System to Stratify Curability after Endoscopic Submucosal Dissection for Early Gastric Cancer: ‘eCura system’. Am J Gastroenterol. 2019;114(12):1925-1926.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u5173\u4e8e\u65e9\u764c\u8bca\u6cbb\u7684\u5927\u6846\u67b6\uff0c\u4ece\u7b2c1\u6b21\u5185\u955c\u7b5b\u67e5\u5230\u6cbb\u7597\u540e\u7684\u957f\u671f\u968f\u8bbf\uff0c\u6211\u60f3\u5e94\u5305\u542b\u5982\u4e0b\u53ca\u90e8\u5206\u5185 … \u7ee7\u7eed\u9605\u8bfb →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-29460","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/29460","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=29460"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/29460\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29460"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}