摘要
目的探讨消化道早癌诊治中消化内镜检查及消化内镜黏膜下剥离术的应用效果。方法49例消化道早癌患者,按诊治方法不同分为参照组(24例)和研究组(25例)。参照组患者接受白光内镜检查及开腹或开胸手术治疗,研究组患者接受消化内镜检查及消化内镜黏膜下剥离术治疗。对比两组患者影像学图像质量评分、手术情况、治疗效果及并发症发生情况。结果研究组患者毛细血管影像评分(3.74±0.23)分、形态影像评分(3.32±0.44)分、胃小凹影像评分(3.69±0.33)分均高于参照组的(2.46±0.28)、(2.32±0.35)、(2.76±0.39)分,差异有统计学意义(P<0.05)。研究组患者手术时间(64.93±7.67)min、住院时间(3.53±0.72)d均短于参照组的(79.34±8.58)min、(8.34±1.26)d,术中出血量(48.25±4.35)ml少于参照组的(67.32±5.19)ml,差异有统计学意义(P<0.05)。研究组患者治疗有效率96.00%与参照组的95.83%对比,差异无统计学意义(P>0.05);研究组并发症发生率0低于参照组的16.67%,差异有统计学意义(P<0.05)。结论消化道早癌诊治中应用消化内镜检查及消化内镜黏膜下剥离术,可提升诊断中影像学质量,在保证良好治疗效果基础上减轻手术创伤、减少并发症。
Objective To discuss the application effect of gastrointestinal endoscopy and gastrointestinal endoscopic submucosal dissection on the diagnosis and treatment of early digestive tract cancer.Methods A total of 49 patients with early cancer of digestive tract were divided into a reference group(24 patients)and a research group(25 patients)according to the different diagnosis and treatment methods.Patients in the reference group received white light endoscopy and open surgery or thoracotomy,while patients in the research group received gastrointestinal endoscopy and gastrointestinal endoscopic submucosal dissection.The image quality score,surgical conditions,therapeutic effect,and occurrence of complications were compared between the two groups.Results The capillary imaging score(3.74±0.23)points,morphological imaging score(3.32±0.44)points,and gastric fovea imaging score(3.69±0.33)points in the research group were higher than(2.46±0.28),(2.32±0.35),and(2.76±0.39)points in the reference group,and the differences were statistically significant(P<0.05).The operative time(64.93±7.67)min and hospital stay(3.53±0.72)d in the research group were shorter than(79.34±8.58)min and(8.34±1.26)d in the reference group;the intraoperative bood loss(48.25±4.35)ml in the research group was less than(67.32±5.19)ml in the reference group;the differences were statistically significant(P<0.05).The treatment efficiency in the research group was 96.00%,and the difference was not statistically significant when compared with 95.83%in the reference group(P>0.05).The incidence of complications in the research group was 0,which was lower than 16.67%in the reference group,and the difference was statistically significant(P<0.05).Conclusion The application of gastrointestinal endoscopy and gastrointestinal endoscopic submucosal dissection in the diagnosis and treatment of early cancer of digestive tract can improve the imaging quality in diagnosis,reduce surgical trauma and complications on the basis of ensuring good therapeutic effect.
作者
王玲
WANG Ling(Department of Gastroenterology,Hebei Yanda Hospital,Langfang 065001,China)
出处
《中国现代药物应用》
2023年第5期41-43,共3页
Chinese Journal of Modern Drug Application
关键词
消化道早癌
消化内镜检查
消化内镜黏膜下剥离术
诊断
治疗
Early cancer of digestive tract
Gastrointestinal endoscopy
Gastrointestinal endoscopic submucosal dissection
Diagnosis
Treatment
