早期结肠癌经肠镜检查的准确度情况及作用价值分析

徐舒佳; 李燕飞; 刘晓明; 杨剑

doi:10.3969/j.issn.1671-038X.2019.07.11

早期结肠癌经肠镜检查的准确度情况及作用价值分析

- 深圳市南山区蛇口人民医院消化内科, 深圳 518067

详细信息

作者简介:
徐舒佳,女,主治医师,研究方向:消化道早癌及胃肠镜下治疗

通讯作者: 徐舒佳,E-mail:63616910@qq.com

中图分类号: R735.3

收稿日期: 2019-04-16

Analysis of the accuracy and value of colonoscopy in early colon cancer

- Department of Gastroenterology, Shekou People's Hospital, Shenzhen 518067, China

More Information

Corresponding author: XU Shu-jia, E-mail: 63616910@qq.com

Received Date: 16 April 2019

摘要

摘要: [目的]研究早期结肠癌经肠镜检查的准确度情况及作用价值。[方法]将自2016年2月~2018年12月我院收治的结肠癌患者120例作为观察对象,分别对所有患者进行常规结肠镜以及靛胭脂染色结肠镜检查。比较不同检查方式诊断早期结肠癌的准确率,诊断早期结肠癌病变部位的结果,诊断不同病理类型早期结肠癌的结果,诊断不同TNM分期结肠癌的结果。[结果]研究组与对照组诊断早期结肠癌的准确率分别为94.17%、79.17%,前者高于后者(P＜0.05)。研究组诊断方式诊断升结肠、降结肠、横结肠癌的准确率分别为96.43%、100.00%、83.33%,相比对照组的78.57%、43.75%、41.67%较高(均P＜0.05)。研究组诊断方式诊断增生型、浸润型、溃疡型结肠癌的准确率分别为96.36%、91.11%、95.00%,相比对照组的85.45%、75.56%、70.00%更高(均P＜0.05)。研究组诊断方式诊断TNM分期为Ⅱ期、Ⅲ期结肠癌的准确率分别为93.33%、93.18%,相比对照组的77.78%、77.27%较高(均P＜0.05)。[结论]靛胭脂染色结肠镜应用于早期结肠癌诊断中的效果显著,有助于提高升结肠、降结肠、横结肠癌的检查准确率,且有助于临床病理类型以及TNM分期的鉴别诊断,具有较高的临床价值,值得推广应用。
- 结肠癌 /
- 肠镜 /
- 靛胭脂染色 /
- 作用价值
Abstract: [Objective]To study the accuracy and value of transcolonoscopy in early colon cancer.[Methods]A total of 120 patients with colon cancer admitted to our hospital from February 2016 to December 2018 were selected as the objects of observation.Routine colonoscopy and indigo carmine staining colonoscopy were performed on all patients respectively.The accuracy of different examination methods in the diagnosis of early colon cancer,the results in the diagnosis of the lesion site of early colon cancer,the results in the diagnosis of early colon cancer in different pathological types,and the results in the diagnosis of different TNM stages of colon cancer were compared.[Results]The diagnostic accuracy of early colon cancer in the study group and the control group was 94.17% and 79.17%,respectively,the former was higher than the latter(P＜0.05).The diagnostic accuracy of ascending colon,descending colon and transverse colon in the study group was 96.43%,100.00% and 83.33%,respectively,higher than that in the control group of 78.57%,43.75% and 41.67%(all P＜0.05).The diagnostic methods in the study group were 96.36%,91.11% and 95.00%,respectively,which were higher than 85.45%,75.56% and 70.00% in the control group(all P＜0.05).Team diagnostic way TNM stage for Ⅱ,the accuracy of stage Ⅲ colon cancer were 93.33%,93.18%,which was higher than the control group of 77.78%,77.27%(all P＜0.05).[Conclusion]The application of indigo-carmin-staining colonoscopy in the early diagnosis of colon cancer has a significant effect,which is helpful to improve the detection accuracy of ascending colon,descending colon and transverse colon cancer,as well as to the differential diagnosis of clinicopathological types and TNM stages.It had high clinical value and was worth popularizing and applying.
- colon cancer /
- colonoscopy /
- indigo carmine dyeing /
- function value

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