早期胃癌诊断与治疗的质量化控制

Thinking and strategy selection on the quality control of early gastric cancer

随着早期胃癌诊断技术和诊断率的不断提高,早期胃癌的诊疗质量逐渐受到关注,并成为胃癌整体诊疗水平提升的重要基础。早期胃癌的诊断和治疗方法多样,近几年,成熟技术手段的开展已经普及,前沿技术的发展迅速而有效,诊疗手段和治疗理念均在不断更新变化。为了保障早期胃癌的诊疗质量,制定早期胃癌的规范化诊疗质量控制制度,推进该制度在全国范围内同质化、标准化执行,建立相应的胃癌诊疗质量评价体系,对提升我国早期胃癌诊疗水平、降低我国胃癌病死率、改善我国胃癌患者预后以及提升我国早期胃癌的临床研究水平有重要意义。本文通过对早期胃癌的诊疗现状和技术发展归纳汇总并进行思考,从多学科诊疗、临床诊断技术、内镜和手术治疗、病理诊断和随访几方面提出了对早期胃癌诊疗过程的质量控制策略、内容和方案,以期对早期胃癌诊治流程的合理、规范和质量控制保障进行阐述。

With the developing technique of the diagnosis and treatment of early gastric cancer,the quality of early gastric cancer diagnosis and treatment is coming into focus,and is crucial to improve the overall management of gastric cancer.It is necessary to establish a quality control system to ensure the quality of diagnosis and treatment for EGC.Based on the summary of the diagnosis and treatment status and technological progress of early gastric cancer,this paper proposes the quality control strategy,content and plan for the diagnosis and treatment process of EGC from the aspects of multidisciplinary diagnosis and treatment,clinical diagnosis technology,endoscopic and surgical treatment,pathological diagnosis and follow-up,with a view to expound the rationality,standardization and quality guarantee of the diagnosis and treatment process for early gastric cancer.