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\u5bf9\u4e8e\u65e9\u671f\u7ed3\u76f4\u80a0\u764c\u5185\u955c\u5207\u9664\u540e\u8bc4\u4f30\uff08\u6cbb\u6108\u6027\u3001\u662f\u5426\u8ffd\u52a0\u6cbb\u7597\uff09\uff0cJSCCR\u3001\u4e2d\u534e\u533b\u5b66\u4f1a\u6d88\u5316\u5185\u955c\u5b66\u5206\u4f1a\u3001ESGE\u5747\u6709\u8f83\u4e3a\u660e\u786e\u7684\u5904\u7406\u7b56\u7565\u2014\u5373\u5782\u76f4\u5207\u7f18\u9634\u6027\u7684\u4e73\u5934\u72b6\/\u7ba1\u72b6\u817a\u764c\u3001\u9ad3\u6837\u764c\uff0c\u5982\u679c\u540c\u65f6\u6ee1\u8db3SM\u6d78\u6da6\u6df1\u5ea6<1000um\u3001\u8109\u7ba1\u6d78\u6da6\u9634\u6027\u3001\u51fa\u82bd1\u7ea7\uff0c\u5efa\u8bae\u53ef\u4e34\u5e8a\u76d1\u6d4b\uff0c\u4e0d\u9700\u8981\u8ffd\u52a0\u6cbb\u7597\u3002<\/p>\n

\u56fe2 \u65e9\u671f\u7ed3\u76f4\u80a0\u764c\u5185\u955c\u6cbb\u7597\u540e\u5904\u7406\u7b56\u7565 \u56fe3 \u6d78\u6da6\u6df1\u5ea6\u4e0e\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u98ce\u9669 \u6ce8\uff1a3\u4f8b\u5934\u90e8\u6d78\u6da6\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u9633\u6027\u60a3\u8005\u5747\u4e3a\u6dcb\u5df4\u7ba1\u6d78\u6da6\u9633\u6027Ly1<\/p>\n

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\u56fe5 Haggitt\u5206\u7c7b<\/p>\n

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\u56fe6 Higgitt \u5206\u7c7b\u4e0e\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u98ce\u9669\u56fe7 Higgitt\u5206\u7ea7\u4e0e\u5185\u955c\u5207\u9664\u540e\u7b56\u7565\uff08\u4e2a\u4eba\u7406\u89e3\uff09\u2733\uff1a\u9700\u540c\u65f6\u6ee1\u8db3\u4e73\u5934\u72b6\/\u7ba1\u72b6\u817a\u764c\u3001\u9ad3\u6837\u764c\u3001\u8109\u7ba1\u6d78\u6da6\u9634\u6027\u3001\u51fa\u82bd1\u7ea7<\/p>\n

\u603b\u4e4b\uff0c\u51c6\u786e\u7684\u5224\u5b9a\u75c5\u53d8\u6709\u8482\/\u65e0\u8482\uff08\u4ee5\u5185\u955c\u5224\u5b9a\u4e3a\u4e3b\u8fd8\u662f\u75c5\u7406\u5224\u65ad\u4e3a\u4e3b\uff1f\uff09\uff0c\u5373\u662fNPG\u8fd8\u662fPG\u662f\u51c6\u786e\u6d4b\u91cf\u6d78\u6da6\u6df1\u5ea6\u8ddd\u79bb\u7684\u524d\u63d0\uff0c\u540c\u65f6\u4e5f\u9700\u8981\u89c4\u8303\u7684\u5185\u955c\u6807\u672c\u5904\u7406\u3002<\/p>\n

\u56fe8 \u5df4\u9ece\u5206\u578b\u7684PG\u548cNPG\u75c5\u53d8<\/p>\n

\u56fe9 Is+IIc\u75c5\u53d8\u75c5\u4f8b\uff1aNPG\uff0c\u4ece\u75c5\u53d8\u8868\u9762\u6d4b\u91cfpT 1a\uff08SM 200um\uff09\uff0cly 0\uff0cv0<\/p>\n

\u5f15\u6587\uff1a[1] \u4e2d\u534e\u533b\u5b66\u4f1a\u6d88\u5316\u5185\u955c\u5b66\u5206\u4f1a\u7ed3\u76f4\u80a0\u5b66\u7ec4. \u4e2d\u56fd\u7ed3\u76f4\u80a0\u764c\u53ca\u764c\u524d\u75c5\u53d8\u5185\u955c\u8bca\u6cbb\u5171\u8bc6.[2] polypectomy and local resections of the colorectum structured reporting protocol 2nd edition.[3] Tanaka S, Kashida H, Saito Y, et al. Japan Gastroenterological Endoscopy Society guidelines for colorectal endoscopic submucosal dissection\/endoscopic mucosal resection. Dig Endosc. 2020;32(2):219-239.[4] Kawachi H, Eishi Y, Ueno H, et al. A three-tier classification system based on the depth of submucosal invasion and budding\/sprouting can improve the treatment strategy for T1 colorectal cancer: a retrospective multicenter study. Mod Pathol. 2015;28(6):872-879.[5] Shaukat A, Kaltenbach T, Dominitz JA, et al. Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2020;159(5):1916-1934.e2.<\/p>\n

[6] Pimentel-Nunes P, Lib\u00e2nio D, Bastiaansen BAJ, et al. Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2022. Endoscopy. 2022;54(6):591-622.<\/p>\n

[7] apanese Society for Cancer of the Colon and Rectum. Japanese Classification of Colorectal, Appendiceal, and Anal Carcinoma: the 3d English Edition [Secondary Publication]. J Anus Rectum Colon. 2019;3(4):175-195. Published 2019 Oct 30. <\/p>\n

[8] Hashiguchi Y, Muro K, Saito Y, et al. Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2019 for the treatment of colorectal cancer. Int J Clin Oncol. 2020;25(1):1-42. <\/p>\n

[9] Ramirez M, Schierling S, Papaconstantinou HT, Thomas JS. Management of the malignant polyp. Clin Colon Rectal Surg. 2008;21(4):286-290. <\/p>\n","protected":false},"excerpt":{"rendered":"

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