早期胃癌的超声内镜诊断及内镜下治疗效果观察

目的:观察早期胃癌的超声内镜诊断及内镜下治疗效果。方法:选取本院2017年1月~2018年12月收入的90例早期胃癌患者,均实施超声内镜诊断以及CT检查,以病理结果为参照,对其诊断价值进行分析。利用随机数字表法将其分为实施内镜治疗的观察组及实施开腹手术治疗的对照组各45例,对比两组治疗效果。结果:病理结果证实,90例早期胃癌患者T0期10例、T1期45例、T2期25例、T3期10例,超声内镜诊断符合率>CT检查,差异有统计学意义(P<0.05);观察组手术相关指标优于对照组、并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:在早期胃癌诊断中超声内镜能够取得理想的效果,内镜治疗更有助于降低并发症发生率。

Endoscopic Diagnosis and Endoscopic Treatment of Early Gastric Cancer

Objective:To observe the endoscopic diagnosis and endoscopic treatment of early gastric cancer.Methods:90 patients with early gastric cancer from January 2017 to December 2018 were selected for endoscopic ultrasound diagnosis and CT examination.The diagnostic value was analyzed based on pathological results.The patients were randomly divided into two groups:the observation group treated with endoscopy and the control group treated with laparotomy.Results:The pathological results confirmed that 90 patients with early gastric cancer had 10 cases in t0 stage,45 cases in T1 stage,25 cases in T2 stage and 10 cases in T3 stage,the diagnostic coincidence rate of endoscopic ultrasonography was higher than that of CT examination,the difference was statistically significant(P<0.05);the operative related indexes of the observation group were better than that of the control group,and the incidence of complications was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Endoscopic ultrasonography can achieve ideal results in the diagnosis of early gastric cancer.Endoscopic therapy is more helpful to reduce the incidence of complications,which is worth promoting in the future diagnosis and treatment.