Diagnostic value of digestive endoscopy in early esophageal carcinoma and precancerous lesions
10.3760/cma.j.issn.1008-6706.2018.12.021
- VernacularTitle:消化内镜技术应用于早期食管癌及癌前病变的诊疗价值
- Author:
Yimin LI
1
;
Zhijian ZHANG
;
Yanfeng ZHOU
Author Information
1. 东莞市人民医院消化内科
- Keywords:
Endoscopy;
digestive system;
Esophageal neoplasms;
Precancerous conditions;
Diagnosis;
Comparative effectiveness research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(12):1577-1580
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of endoscopic technique in the diagnosis of early esophageal carcinoma and precancerous lesions .Methods 52 patients with early esophageal cancer and precancerous lesions in the digestive tract of Dongguan People's Hospital from January 2016 to December 2017 were selected as the research subjects and randomly divided into observation group and control group according to the digital table , with 26 patients in each group .The patients in the control group were examined and diagnosed by white light endoscopy , and the patients in the observation group were diagnosed by the endoscopic technique of digestive tract .The diagnostic value of the two techniques in patients with early esophageal cancer and precancerous lesions was compared and analyzed.Results The diagnostic rate, operation time, hospitalization time, cost and incidence rate of adverse reactions in the observation group were 84.61％,(46.43 ±4.58)min,(5.71 ±1.96)d,(1.46 ±0.39)ten thousand CNY,11.54％,which were significantly better than those in the control group [(61.53％,(89.33 ±13.44) min, (12.87 ±2.14) d,(2.93 ±0.72) ten thousand CNY,38.46％] (χ2 =15.234,t =22.652,9.025,5.142,χ2 =10.354 ,all P<0.05 ) .Conclusion Endoscopic mucosal resection can cause minimal injury to the patients .The recovery time is fast and the probability of complications is small .This treatment method is more effective in the treatment of early digestive tract tumors instead of surgery .
