食管癌不同分期的內(nèi)窺鏡表現(xiàn)與舌象關(guān)系的臨床研究
發(fā)布時(shí)間:2018-12-31 08:06
【摘要】:目的:目前臨床檢查和確診食管癌的途徑大多為侵入性、患者體驗(yàn)不佳、或操作不便的,從而限制了其臨床應(yīng)用,因此尋找新的非侵入性的診斷方法對(duì)早期食管癌診斷十分必要。本研究擬通過觀察食管癌患者的舌象變化,探討舌象與食管癌及其分期的關(guān)系,為食管癌的診斷提供一種可能的非侵入性輔助診斷方法。材料和方法:本研究通過觀察97例食管癌住院患者舌象、胃鏡像,與其術(shù)后病理結(jié)果的相關(guān)性分析,探討內(nèi)鏡和舌象在食管癌的診斷、分期中的作用,從而診斷監(jiān)測(cè)早期食管癌。通過食管癌內(nèi)鏡下分期與病理結(jié)果之間的相關(guān)性分析,觀察舌象在食管癌腫瘤的浸潤(rùn)深度及腫瘤的縱經(jīng)長(zhǎng)度等分級(jí)評(píng)估中的作用。結(jié)論:觀察舌象變化,可以作為一種新型的非侵入性的臨床診療途徑用以早期提示和輔助診斷食管癌,并且通過舌象的變化使食管癌在“T”分期及腫瘤浸潤(rùn)深度方面盡可能的“早”和“淺”,增加手術(shù)機(jī)會(huì),延長(zhǎng)存活時(shí)間。
[Abstract]:Objective: at present, most of the methods of clinical examination and diagnosis of esophageal cancer are invasive, the patient experience is not good, or the operation is inconvenient, thus limiting its clinical application. Therefore, it is necessary to find new non-invasive diagnostic methods for early diagnosis of esophageal cancer. This study aims to explore the relationship between tongue image and esophageal carcinoma and its stages by observing the changes of tongue image in patients with esophageal cancer, and to provide a possible non-invasive assistant diagnostic method for esophageal cancer. Materials and methods: the purpose of this study was to investigate the role of endoscopy and tongue image in the diagnosis and staging of esophageal carcinoma by observing the correlation between tongue image and pathological results of 97 inpatients with esophageal carcinoma. Thus, early esophageal cancer was diagnosed and monitored. By analyzing the correlation between endoscopic staging and pathological results of esophageal carcinoma, the role of tongue image in the evaluation of depth of invasion and longitudinal meridian length of esophageal carcinoma was observed. Conclusion: the observation of tongue changes can be used as a new non-invasive clinical diagnosis and treatment approach for early warning and auxiliary diagnosis of esophageal carcinoma. The changes of tongue appearance can make esophageal carcinoma "early" and "shallow" in "T" stage and depth of tumor invasion, increase the chance of operation and prolong the survival time.
【學(xué)位授予單位】:青島大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類號(hào)】:R735.1
[Abstract]:Objective: at present, most of the methods of clinical examination and diagnosis of esophageal cancer are invasive, the patient experience is not good, or the operation is inconvenient, thus limiting its clinical application. Therefore, it is necessary to find new non-invasive diagnostic methods for early diagnosis of esophageal cancer. This study aims to explore the relationship between tongue image and esophageal carcinoma and its stages by observing the changes of tongue image in patients with esophageal cancer, and to provide a possible non-invasive assistant diagnostic method for esophageal cancer. Materials and methods: the purpose of this study was to investigate the role of endoscopy and tongue image in the diagnosis and staging of esophageal carcinoma by observing the correlation between tongue image and pathological results of 97 inpatients with esophageal carcinoma. Thus, early esophageal cancer was diagnosed and monitored. By analyzing the correlation between endoscopic staging and pathological results of esophageal carcinoma, the role of tongue image in the evaluation of depth of invasion and longitudinal meridian length of esophageal carcinoma was observed. Conclusion: the observation of tongue changes can be used as a new non-invasive clinical diagnosis and treatment approach for early warning and auxiliary diagnosis of esophageal carcinoma. The changes of tongue appearance can make esophageal carcinoma "early" and "shallow" in "T" stage and depth of tumor invasion, increase the chance of operation and prolong the survival time.
【學(xué)位授予單位】:青島大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類號(hào)】:R735.1
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1 高金金;張葆青;;中醫(yī)舌象研究概況[J];遼寧中醫(yī)藥大學(xué)學(xué)報(bào);2012年03期
2 童國(guó)tT;陳利銘;林寶q,
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