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目的观察消化内镜技术用于消化道早期癌症治疗的疗效,指导临床诊治。方法选取医院收治的消化道早期癌症患者80例为研究对象,随机分为观察组和对照组,每组40例。观察组采用内镜下黏膜切除术,对照组采用传统外科剖腹手术。比较2组患者临床疗效、手术时间、住院时间、治疗费用、并发症发生情况及疾病复发率。结果观察组治愈率为70.0%,总有效率为97.5%,高于对照组的52.5%、85.0%(P<0.05);观察组手术时间、住院时间短于对照组,治疗费用少于对照组(P<0.01);观察组并发症发生率为7.5%,对照组发生率为25.0%,2组比较差异有统计学意义(P<0.05)。观察组复发率为10.0%,对照组为27.5%,2组比较差异有统计学意义(P<0.05)。结论消化内镜技术用于消化道早期癌症治疗中,可以有效改善临床症状和体征,缩短手术时间、住院时间和降低治疗费用,预防并发症发生,提高患者满意度,防止疾病复发,是一种较好的治疗方案。
Objective To observe the efficacy of digestive endoscopy in the treatment of early cancer of the digestive tract and guide the clinical diagnosis and treatment. Methods Eighty patients with early cancer of the digestive tract admitted to the hospital were selected as study subjects and randomly divided into observation group and control group, 40 cases in each group. The observation group underwent endoscopic mucosal resection and the control group underwent conventional surgical laparotomy. The clinical efficacy, operation time, hospitalization time, treatment cost, complication and disease recurrence rate were compared between the two groups. Results The cure rate in the observation group was 70.0%, the total effective rate was 97.5%, higher than that in the control group (52.5%, 85.0%, P <0.05). The operation time and hospital stay in the observation group were shorter than those in the control group (P <0.01). The complication rate in the observation group was 7.5% and that in the control group was 25.0%. There was significant difference between the two groups (P <0.05). The recurrence rate was 10.0% in the observation group and 27.5% in the control group, with significant difference between the two groups (P <0.05). Conclusion Digestive endoscopy is an effective method for early cancer treatment of digestive tract, which can effectively improve clinical symptoms and signs, shorten the operation time, hospitalization time and reduce the cost of treatment, prevent the occurrence of complications, improve patient satisfaction and prevent the recurrence of diseases Better treatment options.