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第45卷第7期
               ·980 ·                            南 京    医 科 大 学 学         报                        2025年7月


                     A                                             B
                          1.00                            ESD            1.00                            ESD
                                                          Surgery                                        Surgery
                          0.75                                           0.75
                          OS  0.50                                      DSS  0.50
                          0.25                                           0.25
                               P=0.72                                         P=0.97
                            0                                              0
                               0       50     100     150                    0       50      100     150
                                       Time(months)                                  Time(months)
                              Number at risk                                Number at risk
                          ESD 33       11      2       0                 ESD 33      11       2       0
                         Surger 35     20      7       0                Surger 35    20       7       0
                               0       50     100     150                    0       50      100     150
                                       Time(months)                                  Time(months)
                     C                                             D
                          1.00                            ESD            1.00                            ESD
                                                          Surgery                                        Surgery
                          0.75                                           0.75
                          OS  0.50                                      DSS  0.50
                          0.25                                           0.25
                               P=0.048                                        P=0.05
                            0                                              0
                               0   25   50   75   100  125                   0    25   50   75  100  125
                                       Time(months)                                  Time(months)
                              Number at risk                                Number at risk
                          ESD 28   26   20    9    3   0                 ESD 28   26   20   9    3    0
                         Surger 29  26  13    5    0   0                Surger 29  26  13   5    0    0
                               0   25   50   75   100  125                   0    25   50   75  100  125
                                       Time(months)                                  Time(months)
                 A:Kaplan⁃Meier survival curves compare the OS in AEGJ patients with SM3 submucosal invasion. B:Kaplan⁃Meier survival curves compare the
              DSS in AEGJ patients with SM3 submucosal invasion. C:Kaplan⁃Meier survival curves compare the OS in AEGJ patients with poorly differentiated his⁃
              tology. D:Kaplan⁃Meier survival curves compare the DSS in AEGJ patients with poorly differentiated histology.
                                     图2 高风险AEGJ患者在ESD组和手术组的生存预后比较分析
                        Figure 2 Comparative survival analysis of high⁃risk AEGJ patients in the ESD and surgical groups
                                               表5 ESD及外科治疗相关的不良事件
                                  Table 5 Treatment⁃related adverse events in the ESD and surgical groups  [n(%)]

                       Variable          ESD group(n=163)     Surgery group(n=163)   Overall(n=326)     P
                  Lymph node metastasis                                                                0.829
                   No                       152(93.3)             151(92.6)           303(92.9)
                   Yes                       11(6.7)               12(7.4)             23(7.1)
                  Recrudescence                                                                        0.130
                   No                       155(95.1)             148(90.8)           303(92.9)
                   Yes                       08(4.9)               15(9.2)             23(7.1)
                  Acid regurgitation                                                                   0.005
                   No                       158(96.9)             145(89.0)           303(92.9)
                   Yes                       05(3.1)              018(11.0)            23(7.1)
                  Dysphagia                                                                            0.585
                   No                       157(96.3)             155(95.1)           312(95.7)
                   Yes                       06(3.7)               08(4.9)             14(4.3)
                  Stricture                                                                            0.152
                   No                       157(96.3)             161(98.8)           318(97.5)
                   Yes                       06(3.7)               02(1.2)             08(2.5)
                  Hemorrhage                                                                           0.562
                   No                       161(98.8)             162(99.4)           323(99.1)
                   Yes                       02(1.2)               01(0.6)             03(0.9)
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