摘要
目的探讨消化道早癌治疗中采用消化内镜黏膜下剥离术的效果。方法选择医院从2016年2月—2019年1月收治的消化道早癌患者124例,随机分为观察组和对照组,各62例,对照组行常规检查和切除手术,观察组行消化内镜检查及内镜黏膜下剥离术,对两组的影像质量、并发症发生率以及手术指标进行比较分析。结果观察组内镜下毛细血管、肿瘤形态、腺管分型影像质量评分均明显高于对照组(P<0.05);观察组手术时间、住院时间均较对照组短(P<0.05);观察组并发症发生率为1.61%、对照组为11.29%(P<0.05)。结论对消化道早癌行消化内镜检查可提高诊断正确率,行消化内镜黏膜下剥离术治疗可减少并发症的发生,患者术后恢复快。
Objective To investigate the effect of endoscopic submucosal dissection in the diagnosis and treatment of early gastrointestinal cancer.Methods 124 patients with early gastrointestinal cancer were randomly divided into observation group(62 cases)and control group(62 cases)from February 2016 to January 2019.The control group was given underwent routine examination and resection,the others given underwent digestive endoscopy and endoscopic.submucosal dissection.Results The image quality scores of capillary,tumor morphology and glandular ducts classification in the observation group were significantly higher than those in the control group(P<0.05);the operation time and hospitalization time in the observation group were shorter than those in the others(P<0.05);the incidence of complications in the observation group was 1.61%,and that in the control group was 11.29%(P<0.05).Conclusion Digestive endoscopy can improve the diagnostic accuracy of early gastrointestinal cancer.Submucosal dissection of digestive endoscopy can reduce the incidence of complications,and the patients recover quickly after operation.
作者
徐秀芬
毕洪钟
XU Xiufen;BI Hongzhong(Digestive Department,Weihaiwei People's Hospital,Weihai Shandong 264200,China)
出处
《中国卫生标准管理》
2019年第24期58-60,共3页
China Health Standard Management
关键词
消化道早癌
癌前病变
诊断
治疗
消化内镜
黏膜下剥离术
early gastrointestinal cancer
precancerous lesions
diagnosis
treatment
digestive endoscopy
submucosal dissection
