首页|消化道早癌中消化内镜技术的临床应用价值分析

消化道早癌中消化内镜技术的临床应用价值分析

扫码查看
目的 分析消化内镜治疗对消化道早癌的影响.方法 方便选取2022年10月—2023年10月平邑县人民医院收治的92例消化道早癌患者为研究对象,以双盲法分为传统组、内镜组,各46例,传统组行传统外科手术,内镜组行消化内镜黏膜剥离手术,对比两组临床指标、并发症发生情况、胃肠功能、黏膜屏障功能、生活质量.结果 内镜组手术耗时(74.95±10.92)min、创面愈合时间(7.11±2.03)d、出院时间(6.05±1.14)d均短于传统组,差异有统计学意义(t=8.182、11.815、15.654,P均<0.01);内镜组出血量、并发症发生率低于传统组,差异有统计学意义(P均<0.05);术后,内镜组胃泌素、胃动素水平高于传统组,内镜组血管活性肠肽水平低于传统组,即内镜组创伤更小,差异有统计学意义(P均<0.05);术后,内镜组二胺氧化酶及D-乳酸水平低于传统组,即内镜组受损更轻微,差异有统计学意义(P均<0.05);内镜组生活质量评分高于传统组,差异有统计学意义(P<0.05).结论 消化内镜手术并发症少,能降低胃肠功能受损程度,改善术后生活质量,缩短恢复周期,可在消化道早癌中使用.
Clinical Application Value of Digestive Endoscopy in Early Cancer of Di-gestive Tract
Objective To analyze the effect of digestive endoscopic therapy on early cancer of digestive tract.Methods A total of 92 patients with early gastrointestinal cancer admitted to the People's Hospital of Pingyi from October 2022 to October 2023 were conveniently selected as the research objects.They were divided into the traditional group and the endoscopic group by the double-blind method,with 46 cases in each group.The traditional group underwent tradi-tional surgery,and the endoscopic group underwent endoscopic mucosal dissection.The clinical indicators,complica-tions,gastrointestinal function,mucosal barrier function,and quality of life were compared between the two groups.Results The operation time of the endoscopic group was(74.95±10.92)min,the wound healing time was(7.11±2.03)d,and the discharge time was(6.05±1.14)d,which were shorter than those of the traditional group,the differences were statistically significant(t=8.182,11.815,15.654,all P<0.01).The amount of bleeding and the incidence of com-plications in the endoscopic group were lower than those in the traditional group,and the differences were statistically significant(both P<0.05).After operation,the levels of gastrin and motilin in the endoscopic group were higher than those in the traditional group,and the level of vasoactive intestinal peptide in the endoscopic group was lower than that in the traditional group,that is,the endoscopic group had less trauma,and the differences were statistically sig-nificant(all P<0.05).After operation,the levels of diamine oxidase and D-lactic acid in the endoscopic group were lower than those in the traditional group,that is,the endoscopic group was slightly damaged,and the differences were statistically significant(both P<0.05).The quality of life score of the endoscopic group was higher than that of the tra-ditional group,and the difference was statistically significant(P<0.05).Conclusion Digestive endoscopic surgery has fewer complications,can reduce the degree of damage to gastrointestinal function,improve postoperative quality of life,shorten the recovery cycle,and can be used in early gastrointestinal cancer.

Digestive endoscopyQuality of lifeComplicationsEarly cancer of digestive tractClinical index

王洪玲

展开 >

平邑县人民医院消化内科,山东临沂 273300

消化内镜 生活质量 并发症 消化道早癌 临床指标

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(2)
  • 17