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目的:探究消化内镜技术用于消化道早癌诊断治疗价值。方法:选取北京友谊医院2015年4月~2016年1月间收治的60例疑似消化道早癌患者进行研究,经病理检查确诊为消化道早癌48例,对其行常规内镜、超声内镜与NBI内镜检查,外科剖腹手术20例,内镜下黏膜切除术治疗28例。结果 :内镜窄带成像(NBI)内镜在病变形态、胃小凹分型、毛细血管形态评分上较常规内镜与放大色素内镜评分高,差异存在统计学意义(P<0.05);内镜黏膜切除术患者手术时间与住院时间较外科剖腹手术患者更短,治疗费用更低,差异存在统计学意义(P<0.05)。结论 :NBI内镜诊断消化道早癌准确性较其他内镜更高,有着较高的诊断价值,内镜下黏膜切除术治疗更为安全、疗效更为显著,值得采用。
Objective: To explore the value of digestive endoscopy in the diagnosis and treatment of gastrointestinal cancer. Methods: Sixty patients with suspected gastrointestinal cancer who were treated in Beijing Friendship Hospital between April 2015 and January 2016 were enrolled in the study. Forty-eight patients with early gastrointestinal cancer were diagnosed by pathological examination. The patients underwent routine endoscopic and intra-ultrasound Endoscopic and NBI endoscopy, surgical laparotomy in 20 cases, endoscopic mucosal resection in 28 cases. Results: Endoscopic narrowband imaging (NBI) endoscopy showed a higher score than conventional endoscopic and enlarged endoscopic scans in lesion morphology, gastric pits and capillary morphology scores (P <0.05) The patients with microscopic mucosal resection had shorter operation time and hospitalization time than those with surgical laparotomy, the treatment cost was lower, the difference was statistically significant (P <0.05). Conclusion: The accuracy of endoscopic diagnosis of gastrointestinal cancer by NBI is higher than that of other endoscopes. It has a high diagnostic value. Endoscopic mucosal resection is more safe and effective, which is worthy of application.