消化内镜技术应用于消化道肿瘤的早期诊断治疗的价值探究  

Value Explorationof Digestive Endoscopytechnology in Early Diagnosis and Treatment of Digestive Tract Tumors

作　　者：李进 寇琼亚 张丽娜 Li Jin;Kou Qiongya;Zhang Lina(Endoscopy center of Luohe Hospital of traditional Chinese medicine,Luohe 462000 Henan,China)

机构地区：[1]漯河市中医院内镜中心,河南漯河462000

出　　处：《哈尔滨医药》2023年第4期12-14,共3页Harbin Medical Journal

摘　　要：目的 研究消化内镜技术应用于消化道肿瘤(DTT)的早期诊断治疗的价值。方法 选取DTT患者88例,随机分为消化内镜组(n=44)和传统组(n=44),传统组采用传统内镜检查和外科开放手术治疗,消化内镜组采用消化内镜技术检查和内镜下黏膜切除术(EMR)治疗。比较2组DTT阳性检出率、影像质量评分、围手术期指标及并发症发生率。结果 消化内镜组DTT阳性检出率95.45%(42/44)较传统组68.18%(30/44)高(P<0.05);与传统组相比,消化内镜组形态、毛细血管、胃小凹分型影像评分低(P<0.05);与传统组相比,消化内镜组手术时间、住院天数短,术中出血量少(P<0.05);消化内镜组并发症发生率2.27%(1/44)较传统组18.18%(8/44)低(P<0.05)。结论 消化内镜技术在DTT的早期诊断治疗中,可提升影像质量和阳性检出率,并能减少术中出血量,降低术后不良事件发生风险,缩短住院天数,临床诊断和治疗价值突出。Objective To study the value of digestive endoscopy technologyin the early diagnosis and treatment of digestive tract tumors(DTT).Methods 88 patients with DTT were selected and randomly divided into a digestive endoscopy Group(n=44)and a traditional group(n=44).The traditional group received traditional endoscopyexamination and surgical open surgery treatment,while the digestive endoscopy group received digestive endoscopyexamination and endoscopic mucosal resection(EMR)treatment.The positive detection rate of DTT,image quality score,perioperative index and incidence of complications of the two groupswere compared.Results The positive detection rate of DTT in the digestive endoscopy group 95.45%(42/44)was higher than that in the traditional group 68.18%(30/44)(P<0.05);Compared with the traditional group,the imaging scores of morphology,capillaries and gastric foveaclassification in the digestive endoscopy group were all lower(P<0.05);Compared with the traditional group,the operation time and hospitalization days of the digestive endoscopy group were shorter,and the amount of intraoperative blood loss was less(P<0.05);The incidence of complications of the digestive endoscopy group 2.27%(1/44)was lower than that of the traditional group 18.18%(8/44)(P<0.05).Conclusion In the early diagnosis and treatment of DTT,digestive endoscopytechnology can improve the image quality and positive detection rate,reduce the amount of bleeding during operation,decrease the occurrence risk of adverse events after operation,shorten the length ofhospital stay,and have outstanding clinical diagnosis and treatment value.

关 键 词：消化道肿瘤 消化内镜技术 早期诊断治疗 

分 类 号：R730.4[医药卫生—肿瘤]