精准医学时代中国食管癌外科全程管理的现状和思考
徐州医科大学附属连云港医院, 连云港市第一人民医院胸外科, 江苏连云港 222002
| 摘 要： | 21世纪，临床医学进入精准医学时代。食管癌外科主导的多学科诊疗团队（MDT）以“精准医学”理念和技术为指导，实施规范、微创和精准的食管癌根治性手术和个体化多学科综合治疗，提高了切除率和生存率。但是，鉴于食管癌的早诊率低，诊疗时多为中晚期，尤其治疗后的随访和管理缺位，极大地影响患者的长期生存率和生活质量。食管癌的全程管理涵盖并贯穿于患者从院前的筛查早诊；院内的精准诊疗和快速康复；到出院后的长期随访监测、后续疗养和健康维护三个阶段，为患者提供全方位、全周期、持续性的医疗护理服务，康养指导和人文关怀，以期延长患者生存期、提高生活指数和食管癌的总体疗效。因此，构建一体化和精准化的全程健康管理新模式和管理体系是食管癌外科发展的趋势。本文对中国食管癌全程健康管理的现状进行概述。 |
| 关 键 词： | 食管癌; 筛查; 精准诊疗; 全程管理 |
| DOI： | 10.57237/j.wjcm.2024.03.001 |
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收稿日期: 2024-07-19
接受日期: 2024-08-21
在线出版日期: 2024-08-29
The Present Situation and Thinking of the Whole Course Management of Esophageal Cancer Surgery in the Era of Precision Medicine in the China
Department of Thoracic Surgery, The First People's Hospital of Lianyungang, Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang 222002, China
| Abstract: | In the 21st century, clinical medicine has entered the era of precision medicine. Under the guidance of the concept and technology of “Precision Medicine, the multidisciplinary diagnostic and Therapeutic Team (MDT) is dominant by the surgery department of esophageal cancer has implemented the standardized, minimally invasive, Precision of radical operation for esophageal cancer and individualized multidisciplinary comprehensive treatment, the resection rate and survival rate were improved. However, in view of the low rate of early diagnosis of esophageal cancer, the diagnosis and treatment are mostly in the middle and late stages, especially the lack of follow-up and management after treatment, which greatly affects the long-term survival rate and quality of life of patients. The whole management of esophageal cancer covers and runs through the screening and early diagnosis of patients before hospital; Accurate diagnosis and treatment and rapid rehabilitation in the hospital; To long-term follow-up monitoring, Subsequent recuperation and health maintenance after discharge in the three stages, To provide patients with all-round, full-cycle and continuous medical care services, rehabilitation guidance and humanistic care, in order to prolong the survival period of patients, improve the life index and the overall curative effect of esophageal cancer. Therefore, it is the development trend of esophageal cancer surgery to construct a new model and management system of integrated and precision whole-course health management. This article summarized the current status of whole course health management of esophageal cancer in the china. |
| Keywords: | Esophageal Cancer; Screening; Precision Diagnosis and Treatment; Whole Process Management |
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