消化内镜检查在消化道早癌诊治中的临床价值
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摘要
目的探讨消化内镜技术在消化道早癌诊治中的应用价值。方法选取100例消化道早癌患者作为研究对象,按照随机数表法将患者均分为2组。对照组采用白光内镜技术检查,同时应用外科剖腹手术治疗,观察组采用消化内镜技术检查,同时应用内镜下黏膜切除术治疗。分析并比较2组患者的影像质量评分、治疗效果、手术时间、住院时间及术中出血量。结果观察组患者的影像质量评分分别为毛细血管影像评分(3. 55±0. 76)分、胃小凹分型影像评分(3. 26±0. 65)分、形态影像评分(3. 65±0. 79)分,分别显著高于对照组的(2. 31±0. 42)、(1. 89±0. 32)、(1. 98±0. 47)分(P <0. 05);观察组治疗有效率为84. 00%,显著高于对照组58. 00%(P <0. 05);观察组手术时间为(145. 35±10. 71) min,显著短于对照组(223. 64±9. 86) min(P <0. 05);观察组住院时间为(13. 63±1. 65) d,显著短于对照组(19. 75±2. 57) d(P <0. 05);观察组术中出血量为(75. 30±2. 10) m L,显著少于对照组(121. 90±16. 50) m L(P <0. 05)。结论消化道内镜技术能更加准确地识别肿瘤病变情况,缩短患者手术时间与住院时间,减少术中出血量,在消化道早癌的诊治中具有很高的临床价值。
Objective To explore the value of digestive endoscopy in diagnosis and treatment of early-stage digestive tract cancer. Methods A total of 100 patients with early-stage gastrointestinal cancer who were treated in our hospital wereenrolled. According to the random number table method,patients were randomly divided into two groups,with 50 cases in each group. The control group was treated with white light endoscopy as well as surgical laparotomy,while the observation group underwent digestive endoscopy,and endoscopic mucosal resection. The image quality scores,treatment effects,operation time,hospital stay,and intraoperative blood loss were compared between the two groups. Results The image quality scores such as capillary image score,gastric smear image score,and morphological image score of the observation group were( 4. 25 ± 0. 76),( 3. 76 ± 0. 65),( 4. 15 ± 0. 79) points,respectively,which were significantly higher than( 2. 31 ± 0. 42),( 1. 89 ±0. 32),( 1. 98 ± 0. 47) points,respectively in the control group( P < 0. 05). The effective rate of treatment in the observation group was significantly higher than that in the control group( 84. 0% vs.58. 0%,P < 0. 05). The operation time of the observation group was( 145. 35 ± 10. 71) min,which was significantly shorter than that( 223. 64 ± 9. 86) min of the control group( P < 0. 05). The hospitalization time of the observation group was( 13. 63 ± 1. 65) d,which was significantly shorter than( 19. 75 ± 2. 57) d of the control group( P < 0. 05); the amount of intraoperative blood loss in the observation group was( 75. 30 ± 2. 10) m L,which was significantly less than( 121. 90 ± 16. 50) m L of the control group( P < 0. 05). Conclusion Gastrointestinal endoscopy can more accurately identify the pathological changes of tumors,shorten the operation time and hospitalization time of patients,reduce the amount of intraoperative blood loss,which has high clinical value in the diagnosis and treatment of early-stage cancer of digestive tract.
Objective To explore the value of digestive endoscopy in diagnosis and treatment of early-stage digestive tract cancer. Methods A total of 100 patients with early-stage gastrointestinal cancer who were treated in our hospital wereenrolled. According to the random number table method,patients were randomly divided into two groups,with 50 cases in each group. The control group was treated with white light endoscopy as well as surgical laparotomy,while the observation group underwent digestive endoscopy,and endoscopic mucosal resection. The image quality scores,treatment effects,operation time,hospital stay,and intraoperative blood loss were compared between the two groups. Results The image quality scores such as capillary image score,gastric smear image score,and morphological image score of the observation group were( 4. 25 ± 0. 76),( 3. 76 ± 0. 65),( 4. 15 ± 0. 79) points,respectively,which were significantly higher than( 2. 31 ± 0. 42),( 1. 89 ±0. 32),( 1. 98 ± 0. 47) points,respectively in the control group( P < 0. 05). The effective rate of treatment in the observation group was significantly higher than that in the control group( 84. 0% vs.58. 0%,P < 0. 05). The operation time of the observation group was( 145. 35 ± 10. 71) min,which was significantly shorter than that( 223. 64 ± 9. 86) min of the control group( P < 0. 05). The hospitalization time of the observation group was( 13. 63 ± 1. 65) d,which was significantly shorter than( 19. 75 ± 2. 57) d of the control group( P < 0. 05); the amount of intraoperative blood loss in the observation group was( 75. 30 ± 2. 10) m L,which was significantly less than( 121. 90 ± 16. 50) m L of the control group( P < 0. 05). Conclusion Gastrointestinal endoscopy can more accurately identify the pathological changes of tumors,shorten the operation time and hospitalization time of patients,reduce the amount of intraoperative blood loss,which has high clinical value in the diagnosis and treatment of early-stage cancer of digestive tract.
引文
[1]王艳斌,汪晓红,朱苏敏,等.消化道早癌诊断治疗中消化内镜黏膜下剥离术的应用价值分析[J].中国医药指南,2017,15(13):109-110.
[2]张艳,吴婧婧,郑佳,等. 62例消化道早期癌肿患者经内镜诊断和治疗的临床观察[J].中华全科医学,2018,16(2):236-238.
[3]周宇,罗良德,申红.消化道早期癌症诊断治疗中消化内镜技术的应用价值[J].临床合理用药杂志,2017,10(32):115-116.
[4]周皖.消化内镜技术用于消化道早癌诊断治疗价值研究[J].临床合理用药杂志,2014,7(35):90-91.
[5]庾艳军.内镜下黏膜切除术和内镜黏膜下剥离术治疗消化道病变的对比研究[D].南宁:广西中医药大学,2016.
[6]洪耀,白云飞,刘永东,等.探讨消化内镜技术用于消化道早癌诊断治疗价值[J].中国社区医师,2018,20(22):104-104,106.
[7]傅泽坚.内镜下消化道肿瘤的早期诊断和治疗[J].中国医学创新,2015,12(13):133-136.
[8]魏涛.消化内镜技术对消化道肿瘤的早期诊断治疗价值[J].深圳中西医结合杂志,2015,25(19):81-82.
[9]贾红飞.早期胃癌内镜诊疗策略的初步探讨[D].滨州:滨州医学院,2015.
[10]滕晓琨,王国品,黄晓丽,等.内镜窄带成像技术对早期消化道肿瘤及癌前病变的诊断价值[J].中国临床研究,2017,30(1):126-128.
[2]张艳,吴婧婧,郑佳,等. 62例消化道早期癌肿患者经内镜诊断和治疗的临床观察[J].中华全科医学,2018,16(2):236-238.
[3]周宇,罗良德,申红.消化道早期癌症诊断治疗中消化内镜技术的应用价值[J].临床合理用药杂志,2017,10(32):115-116.
[4]周皖.消化内镜技术用于消化道早癌诊断治疗价值研究[J].临床合理用药杂志,2014,7(35):90-91.
[5]庾艳军.内镜下黏膜切除术和内镜黏膜下剥离术治疗消化道病变的对比研究[D].南宁:广西中医药大学,2016.
[6]洪耀,白云飞,刘永东,等.探讨消化内镜技术用于消化道早癌诊断治疗价值[J].中国社区医师,2018,20(22):104-104,106.
[7]傅泽坚.内镜下消化道肿瘤的早期诊断和治疗[J].中国医学创新,2015,12(13):133-136.
[8]魏涛.消化内镜技术对消化道肿瘤的早期诊断治疗价值[J].深圳中西医结合杂志,2015,25(19):81-82.
[9]贾红飞.早期胃癌内镜诊疗策略的初步探讨[D].滨州:滨州医学院,2015.
[10]滕晓琨,王国品,黄晓丽,等.内镜窄带成像技术对早期消化道肿瘤及癌前病变的诊断价值[J].中国临床研究,2017,30(1):126-128.