消化内镜技术在消化道早癌诊断治疗中价值分析.docVIP

消化内镜技术在消化道早癌诊断治疗中价值分析 　　[摘要] 目的 对诊断和治疗消化道早癌过程中应用消化内镜技术的效果进行观察和分析。 方法 选择2016年1月～2017年1月来我院接受消化道早癌诊断和治疗的患者290例，并随机将其分为两组，各145例。给予常规组患者外科剖腹手术，给予研究组患者消化内镜技术。对两组患者全部实施内镜窄带成像（NBI）检查和常规内镜检查，并对两种诊断方法的评分进行对比。除此之外，对两组患者使用的手术时间、住院时间和费用以及并发症情况进行对比。 结果 NBI内镜技术较于常规内镜检查，在胃小凹分型影像、形态影像和毛细血管影像等评分方面较高，差异具有统计学意义（P0.05）；另外，对比两组患者的手术时间、住院时间和费用以及并发症情况，研究组明显优于常规组，差异具有统计学意义（P0.05）。 结论 在诊断和治疗消化道早癌的过程中，通过对消化道内镜技术的应用，不仅可以将住院和手术时间缩短，而且还可以使患者的痛苦得到缓解，减少并发症的发生，值得在日后的临床治疗中大力应用和推广。 　　[关键词] 消化道早癌；诊断治疗；消化内镜技术；外科剖腹手术 　　[中图分类号] R318.14 [文献标识码] B [文章编号] 1673-9701（2017）30-0081-03 　　[Abstract] Objective To observe and analyze the effect of digestive endoscopy in the diagnosis and treatment of digestive tract early cancer. Methods A total of 290 patients who received diagnosis and treatment of digestive tract early cancer in our hospital from January 2016 to January 2017 were enrolled， and were randomly divided into two groups， with 145 cases in each group. The conventional group was treated with surgical laparotomy. The study group was treated with digestive endoscopy. All patients in the two groups underwent endoscopic narrowband imaging （NBI） and routine endoscopy. And the scores of the two diagnostic methods were compared. In addition， the operation time， length of stay and cost and complications between the two groups were compared. Results The scores in stomach pits classification， morphological image and capillary image of the NBI endoscopy was significantly higher than those of routine endoscopy， and the difference was significant（P0.05）. In addition， the operative time， the length of hospitalization， cost and complications in the study group were superior to those in the conventional group， and the difference was statistically significant（P0.05）. Conclusion In the process of diagnosis and treatment of digestive tract early cancer， the application of endoscopic gastrointestinal technology not only can reduce the length of hospitalization and surgery， but also can alleviate the pain of patients，