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“镜”益求精 开拓创新 引领技术前沿

2017-08-15 05:22:36   中国青年网

集高水平团队和国际领先内镜检查系统

为大连百姓保驾护航

消化内镜经过近二十年的发展,随着技术的进步,涉及的范围越来越广泛,诊疗手段非常丰富,从一门技术转变为一门完整的学科体系。基于这样的背景和基础,临床上对于消化疾病的诊断和治疗,也更加深入。参照日本早期消化道癌的筛查方法,根据中国消化道癌早诊早治的现状,市中心医院在大连三甲医院中首家引进胃癌风险评估系统,进行早癌筛查两步法的第一步——普查。在普查的基础上按照国际化标准,实现早癌筛查两步法的第二步——高危病人的精细化内镜检查(简称“精查内镜”)。早在2010年,中心医院独立完成我市首例内镜粘膜下切除术,同时又是我市首家全面开展无痛胃肠镜的医院。

2015年,为了更好地进行胃癌筛查,医院率先引进了全球领先的奥林巴斯290电子内镜系统。张晶主任介绍,该设备采用目前世界上至优的照明系统,并把先进的光学染色、放大内镜充分结合起来,能够为患者进行更仔细、更全面、更清晰的检查,准确发现消化道内壁的微小病变,并放大100倍鉴别病变的良恶性,进行有目标的活检,大大提高了诊断的准确率。此外,医院开展的内镜黏膜下剥离术(ESD)的技术,可免除传统手术治疗风险以及对身体造成的损伤,已成为治疗胃肠道早期癌及癌前期病变的有效手段。

内镜进入胃肠道直达病灶,就像一台体内的照相机,帮助医生近距离观察胃肠道状态进行诊断,这台“照相机”越清晰、越尖端,消化内镜医生越容易发现早期癌。张晶表示,虽然目前的技术发展还不能防止胃癌的发生,但完全可以阻止胃癌的发展。为此,市中心医院一直精勤不倦的勇于开拓,并坚持向大众普及早癌筛查理念。

深入国际交流 实现跨越式发展

为了与国际先进的内镜诊疗水平相接轨,近十年来,在消化道疾病的检查与治疗上,市中心医院一直保持着与世界前沿理念及技术的紧密联系,致力于推动以胃癌为代表的消化道癌的早诊早治。尤其是近三年,通过定期“走出去、请进来”的方式,中心医院多次派遣医生、护士赴消化道早癌诊治世界第一的日本学习、研修,带回来科学的理念、严格的管理、先进的技术以及标准化的内镜质控检查,汲取精髓、提高内镜操作技能。2013年成为大连市政府医疗软实力内镜培训基地后,提高大连及周边地区内镜医师水平成为中心医院的责任,在着力开展国际先进的内镜诊疗技术和理念的同时,采取集中培训、研修等形式对60余位医生进行了消化内镜培训,不仅提高了广大医师对早期癌工作重要性的认识与诊疗水平,也帮助周边市县的患者在家门口得到高水平的诊治。2016年,为了更好地进行国际交流,医院成立了东北唯一一家中日消化内镜诊疗中心,中心每两个月日本专家来院进行指导、会诊、手术演示等各类学术交流活动,每年召开一届网络直播的中日消化道癌内镜会议,参会专家来自全国各地,不仅使大连及省内市民不出国门便享受到了世界一流的内镜检查与治疗,更是在国内打造了一个中日早癌内镜技术交流的精品平台。张晶主任表示,未来将采取更多方式,尽快缩短科室在内镜诊治上跟日本的差距,全力以赴降低中国胃癌死亡率。

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