EUS在早期消化道癌症患者诊治中的价值  

The Value of EUS in the Diagnosis and Treatment of early gastrointestinal Cancer

作　　者：靳芳莉 JIN Fangli(Department of Liver,Gallbladder,Spleen and Stomach Diseases,The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine,Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou Henan 450000,China)

机构地区：[1]河南中医药大学第二附属医院,河南省中医院肝胆脾胃病科,河南郑州450000

出　　处：《临床研究》2022年第10期11-14,共4页Clinical Research

摘　　要：目的探讨超声内镜(EUS)在早期消化道癌症患者诊治中的临床价值。方法对河南中医药大学第二附属医院2019年10月至2021年10月收治的72例早期消化道癌症患者开展回顾性研究,依据诊治方式的不同将研究对象分为两组,其中35例经常规内镜诊断的患者纳入观察1组,其余37例经EUS诊断的患者纳入观察2组。两组研究对象均在诊断1~2周后接受手术治疗,以病理结果为金标准,比较常规内镜和EUS在疾病类型、病变直径、病变位置和组织分化类型诊断准确情况,检查期间疼痛程度以及并发症发生情况方面的差异。结果观察1组内镜检查显示结直肠癌占比40.00%、胃癌占比31.43%、食管癌占比20.00%,病理诊断结肠癌占比42.86%、胃癌占比34.29%、食管癌占比22.86%,诊断符合率91.43%;观察2组内镜检查显示结直肠癌占比43.24%、胃癌占比27.03%、食管癌占比21.62%,病理诊断结肠癌占比45.95%、胃癌占比29.73%、食管癌占比24.32%,诊断符合率91.89%;两组诊断符合率比较,差异无统计学意义(P>0.05)。观察2组病变直径诊断准确率(89.19%)、组织分化程度诊断准确率(94.59%)与观察1组(85.71%和88.57%)相比,差异无统计学意义(P>0.05),但观察2组病变位置诊断准确率(97.30%)高于观察1组(71.43%),差异有统计学意义(P<0.05)。观察1组无痛发生率为17.14%、疼痛发生率为82.86%,观察2组无痛发生率为48.65%,疼痛发生率为51.35%,观察2组疼痛情况明显好于观察1组,差异有统计学意义(P<0.05);另外,观察1组轻度疼痛发生率(25.71%)、重度疼痛发生率(14.29%)与观察2组(35.71%和5.41%)相比,差异无统计学意义(P>0.05),但观察2组中度疼痛发生率(10.81%)低于观察1组(42.86%),差异有统计学意义(P<0.05)。观察2组并发症发生率(2.70%)低于观察1组(17.14%),差异有统计学意义(P<0.05)。结论在早期消化道癌症患者的诊治中应用EUS不仅诊断符合率较高,还同时具备减轻患者疼痛Objective To investigate the clinical value of endoscopic ultrasonography(EUS)in the diagnosis and treatment of early gastrointestinal cancer.Methods A retrospective study was carried out on 72 patients with early gastrointestinal cancer admitted to the Second Affiliated Hospital of Henan University of Traditional Chinese Medicine from October 2019 to October 2021.The subjects were divided into two groups according to the different diagnosis and treatment methods,35 patients diagnosed by conventional endoscopy were included in observation group 1,and the remaining 37 patients diagnosed by EUS were included in observation group 2.The two groups of subjects received surgical treatment after 1 to 2 weeks of diagnosis.Based on the pathological results as the gold standard,we compared the diagnostic accuracy of conventional endoscopy and EUS in terms of disease type,lesion diameter,lesion location and tissue differentiation type,and the degree of pain and complications during the examination were compared.Results In the observation group 1,endoscopic examination showed that colorectal cancer accounted for 40.00%,gastric cancer 31.43%,esophageal cancer 20.00%,pathological diagnosis of colon cancer 42.86%,gastric cancer 34.29%,esophageal cancer 22.86%,and the diagnostic accuracy was 91.43%;In the observation group 2,endoscopic examination showed that colorectal cancer accounted for 43.24%,gastric cancer 27.03%,esophageal cancer 21.62%,pathological diagnosis of colon cancer 45.95%,gastric cancer 29.73%,esophageal cancer 24.32%,and the diagnostic accuracy was 91.89%;There was no significant difference in the diagnostic coincidence rate between the two groups(P>0.05).There was no significant difference in the diagnostic accuracy rate of lesion diameter and tissue differentiation between the observation group 2(89.19%%,94.59%)and the observation group 1(85.71%,88.57%)(P>0.05),but the diagnostic accuracy rate of lesion location in the observation group 2(97.30%)was higher than that in the observation group 1(71.43%),with a s

关 键 词：超声内镜 早期消化道癌症 诊治 并发症 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]