摘要
目的:探讨无痛内镜用于上消化道早癌及癌前病变的筛查及评价价值。方法:选取2021年3月至2022年3月我院接收的78例疑似上消化道早癌及癌前病变患者,将其作为研究对象进行临床研究,按检查方式的不同将所有患者分为对照组30例和研究组48例,对照组采用传统内镜检查,研究组采用无痛内镜精细筛查,观察两组的检查结果并与病理检查结果比较,对比两组的临床筛查率。对两组的形态、胃小凹分型及毛细血管等影像评分进行评估,诊断效果评价采用ROC曲线。结果:研究组上消化道早癌及癌前病变的筛查率均高于对照组(P<0.05);研究组形态、胃小凹分型及毛细血管影像评分均高于对照组(P<0.05);无痛内镜诊断上消化道早癌及癌前病变的敏感度在85.40~100.00%之间,特异度在83.30~100.00%之间,ROC曲线分析显示,无痛内镜诊断上消化道早癌及癌前病变的AUC分别为0.992(95%CI为0.977~1.000)、0.999(95%CI为0.997~1.000)、0.896(95%CI为0.823~0.968)。结论:无痛内镜精细筛查用于消化道早癌及癌前病变的临床筛查,可明显提高筛查率,且能明显提高消化道早癌及癌前病变当中的形态、胃小凹分型和毛细血管等影像评分,具有一定的临床应用和推广价值。
Objective:To explore the value of painless endoscopy in the screening and evaluation of early cancer and precancerous lesions of upper gastrointestinal tract.Methods:78 patients with suspected early upper gastrointestinal cancer and precancerous lesions received in our hospital from March 2021 to March 2022 were selected for clinical research.According to the examination methods,all patients were divided into 30 cases in the control group and 48 cases in the study group.The control group was examined by traditional endoscopy and the study group was carefully screened by painless endoscopy.The examination Results:of the two groups were observed and compared with the pathological examination results,The clinical screening rates of the two groups were compared.The morphology,gastric fovea classification and capillary imaging scores of the two groups were evaluated.The diagnostic effect was evaluated by ROC curve.Results:the screening rates of early upper gastrointestinal cancer and precancerous lesions in the study group were higher than those in the control group(P<0.05);The morphology,gastric fovea classification and capillary image score in the study group were higher than those in the control group(P<0.05);The sensitivity and specificity of painless endoscopy in the diagnosis of upper gastrointestinal early cancer and precancerous lesions were 85.40~100.00%and 83.30~100.00%.ROC curve analysis showed that the AUC of painless endoscopy in the diagnosis of upper gastrointestinal early cancer and precancerous lesions were 0.992(95%CI 0.977~1.000),0.999(95%CI 0.997~1.000)and 0.896(95%CI 0.823~0.968)respectively.Conclusion:painless endoscopic fine screening for clinical screening of early gastrointestinal cancer and precancerous lesions can significantly improve the screening rate,and can significantly improve the image scores of morphology,gastric fovea classification and capillaries in early gastrointestinal cancer and precancerous lesions.It has certain clinical application and popularization value.
作者
杨浩华
Yang Haohua(Department of Anesthesiology,Ma'anshan Hospital of Traditional Chinese Medicine 243000)
出处
《生命科学仪器》
2023年第4期98-101,共4页
Life Science Instruments
关键词
无痛内镜
上消化道早癌
癌前病变
筛查
评价
painless endoscopy
Early carcinoma of upper digestive tract
Precancerous lesions
Screening
evaluate
作者简介
杨浩华,性别:男,出生日期:1987.12.04,民族:汉,籍贯:安徽省当涂县,职称:主治医师,学历:本科,科室:麻醉科,职务:临床麻醉,邮箱:paojiu48665444@163.com。
