多学科协作诊治模式下结直肠癌术前辅助检查系统的临床应用初步探索  

The Clinical application of preoperative adjuvant examination system for colorectal cancer under multi-disciplinary cooperative diagnosis and treatment

作　　者：焦海良[1] 朱斌[2] 苏瑞洋 

机构地区：[1]江苏省徐州市沛县人民医院,江苏徐州221600 [2]江苏省徐州市沛县人民医院肿瘤内科,江苏徐州221600 [3]江苏省徐州市沛县人民医院普外科,江苏徐州221600

出　　处：《当代医学》2017年第22期42-44,共3页Contemporary Medicine

摘　　要：目的分析和探究针对结直肠癌术前辅助检查系统中采用多学科协作诊治的模式进行干预的应用价值。方法全面系统地回顾结直肠癌患者150例作为此次报告的研究对象,统计和探索结直肠癌患者的病程等一般临床指标,分析临床在治疗和护理结直肠癌术前需要准备的检查步骤,以及对于患者术后结肠癌治疗的效果。结果结果显示,选取的100例结直肠癌患者,其中患者的术前检查项目为4~15个,平均术前项目为(10±2)个。应用相关性进行统计分析,肺功能检测与以下指标均呈现正相关,包括了:(1)血型:r=0.159,P=0.027。(2)肿瘤标记物:r=0.120,P=0.015。(3)胸部X线片:r=0.108,P=0.013。(4)常规心电图:r=0.187,P=0.004。其中有一些指标呈现负相关,包括了应激反应:r=-0.102,P=0.024。运用单因素进行讨论指出,结直肠癌患者的病灶区域和手术方式比较差异均无统计学意义。结论临床在治疗结直肠癌患者的术前检查过程多包括了脏器功能检查、肿瘤标记物检查等,而应用多学科协作诊治模式有着较好的临床价值。并制定初步的辅助检查必需项目,一方面可以全面提高结直肠癌术前的评估准确性,另一方面可以提高医院的整体医疗质量,促进医院的发展。Objective To analyze and explore the application value of intervention in multi-disciplinary cooperative diagnosis and treatment of colorectal cancer preoperative auxiliary examination system. Methods A total of 150 patients with colorectal cancer were reviewed systematically, and the general clinical indexes such as the course of colorectal cancer were analyzed. The clinical procedures needed for the treatment and nursing of colorectal cancer were analyzed. As well as the effect of postoperative treatment of patients with colon cancer. Results The results showed that the author selected 100 cases of colorectal cancer patients, including patients with preoperative examination items for the 4 to 15, the average preop- erative project was （10 ± 2）. Statistical analysis was used to analyze the correlation between lung function and the following indicators, including： ① blood type： r = 0.159, P = 0.027. ② tumor markers： r = 0.120, P = 0.015. （±） chest X tablets： r = 0.108, P = 0.013. ③ conventional electrocardio- gram： r = 0.187, P = 0.004. Some of these indicators showed a negative correlation, including： stress response： r = -0.102, P = 0.024. The use of sin- gle factors to discuss that colorectal cancer patients with regional lesions and surgical methods were no significant difference. Conclusion The clini- cal examination of colorectal cancer patients in the treatment of colorectal cancer, including the examination of organ fimction, tumor markers, etc., and the application of multidisciplinary collaborative diagnosis and treatment model has a good clinical value. And the development of preliminary supplementary examination of the necessary items, on the one hand can improve the accuracy of preoperative assessment of colorectal cancer, on the other hand can improve the overall hospital medical quality and promote the development of the hospital.

关 键 词：结直肠癌 多学科协作诊治 术前评估 肿瘤标记物 应用价值 

分 类 号：R735.34[医药卫生—肿瘤]