目的

总结内镜黏膜下剥离术（ESD）治疗伴发食管胃静脉曲张（GOV）的食管早癌及癌前病变围术期护理经验。

方法

回顾性分析2016 年9 月至2023 年12 月经解放军总医院第一医学中心消化内科医学部行ESD 治疗伴发GOV 的食管早癌及癌前病变患者的临床资料，并对患者围术期的相关护理要点进行总结。

结果

所有患者均成功进行了ESD 及GOV 治疗，术后病理提示所有患者均实现治愈性切除。 其中2例患者术后出现ESD 创面出血，给予内镜下电凝止血。 整个围术期，给予全面细致的护理，所有患者均于术后恢复良好，均未发生严重并发症及死亡等情况。

结论

ESD 治疗伴GOV 的食管早癌及癌前病变安全有效；完善的围术期护理，有助于降低并发症的发生，提高病患的生活质量。

Objective

To summarize the perioperative nursing experience of endoscopic submucosal dissection （ESD） for esophageal early cancer and precancerous lesions associated with esophagogastric varices （GOV）.

Methods

Clinical data of patients with esophageal early cancer and precancerous lesions accompanied by GOV undergoing ESD treatment in Department of Gastroenterology， First Medical Center，PLA General Hospital from September 2016 to December 2023 were retrospectively analyzed， and the key points of perioperative nursing were summarized.

Results

All patients were successfully treated with ESD and GOV， and postoperative pathology indicated that all patients achieved curable resection. Among them，2 patients had ESD wound bleeding after operation and were given endoscopic electrocoagulation. During the whole perioperative period， all patients were given comprehensive and meticulous nursing care. All patients recovered well after operation， and no serious complications or death occurred.

Conclusion

ESD is safe and effective in the treatment of esophageal early cancer and precancerous lesions with GOV. Perfect perioperative nursing is helpful to reduce the occurrence of complications and improve the quality of life of patients.