消化内镜技术应用于早期食管癌及癌前病变的诊疗价值

Diagnostic value of digestive endoscopy in early esophageal carcinoma and precancerous lesions

目的探讨消化内镜技术应用于早期食管癌及癌前病变的诊疗价值。方法选择2016年1月至2017年12月东莞市人民医院门诊及收治的消化道早期食管癌及癌前病变患者52例为研究对象，采用随机数字表法将患者分成观察组和对照组，每组26例。对照组选用白光内镜检查技术对患者进行检查诊断，观察组选用消化道内镜技术进行检查诊断，比较两种技术对于早期食管癌及癌前病变患者的诊断价值。结果观察组诊断率（84.61%）、手术时间（46.43±4.58）min、住院时间（5.71±1.96）d、费用（1.46±0.39）万元及不良反应发生率（11.54%）均明显优于对照组[（61.53%、（89.33±13.44）min、（12.87±2.14）d、（2.93±0.72）万元、38.46%]（χ2＝15.234，t＝22.652、9.025、5.142，χ2＝10.354，均P〈0.05）。结论消化内镜技术能缩短手术时间，降低不良反应发生率，该治疗方法可以更加有效替代外科手术诊治消化道早期肿瘤。

ObjectiveTo evaluate the clinical value of endoscopic technique in the diagnosis of early esophageal carcinoma and precancerous lesions.Methods52 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.ResultsThe 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）.ConclusionEndoscopic 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.