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ID:22088288
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时间:2018-10-27
《放大nbi内镜在早期胃癌诊断中的应用体会》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、放大NBI内镜在早期胃癌诊断中的应用体会叶春荣付肖岩黄恒青福建中医药大学附属第二人民医院脾胃科摘要:目的通过对比分析放大NBI内镜(ME-NBI)与普通Q光内镜(WLE)诊断早期胃癌的准确性,评价其鉴别可疑病变的价值。方法回顾性分析行WLE或ME-NBI内镜检查发现胄部异常病灶患者218例,根据内镜类型不同将患者分为观察组110例和对照组108例。观察组行ME-NBI检查,对照组行WLE检查,2组病变均进行组织活检或内镜下切除标本病理学检查。对比2组内镜下诊断与病理诊断的情况,计算内镜诊断的敏感性、特异性、阳性预测值、阴性预测
2、值和准确性。结果对照组患者WLE内镜下诊断癌性病变80例,经最终“金标准”病理诊断证实其中癌变10例,非癌变70例;WLE内镜下诊断非癌性病变28例,经最终“金标准”病理诊断证实均为非癌变。观察组患者ME-NBI内镜下诊断癌性病变14例,经最终“金标准”病理诊断证实其中癌变13例,非癌变1例;ME-NBT内镜下诊断非癌性病变96例,经最终“金标准”病理诊断证实其屮非癌变94例,癌变2例。对照组108例患者中,病理诊断证实非癌性病变为98例,癌性病变10例。观察组110例患者中病理诊断证实非癌性病变95例,癌性病变15例。观察组
3、诊断EGC的特异性、阳性预测值及准确性明显高于对照组,差异均有统计学意义(P<0.05)。结论早期胃癌的筛查首选WLE,对于WLE发现的疑似病灶进一步行ME-NBI检查并在ME-NBI指引下靶向活检有助于进一步提高诊断率。关键词:早期胃癌;a;放大胃镜;窄带成像技术;收稿日期:2017-06-22ApplicationofnarrowbandimagingendoscopyinthediagnosisofearlygastriccancerYEChunrongFUXiaoyanHUANGhengqingDepartmentof
4、Gastroenterology,TheSecondPeople’sHospitalAffiliatedtoFujianUniversityofTraditionalChineseMedicine;Abstract:ObjectiveTocomparethediagnosisaccuracyofNBIendoscopy(ME-NBI)andwhitelightendoscopy(WLE)inthediagnosisofearlygastriccancer,andtovaluatcitsvalueinidentification
5、ofsuspiciouslesions.MethodsRetrospectivelyanalysed218patientsfoundabnormalgastriclesionsbyWLEorME-NBI.Thepatientsweredividedintoobservationgroup(110cases)andcontrolgroup(108cases)accordingtothetypeofendoscopy.ObservationgroupwasgivenMENBTexamination,controlgroupwasg
6、ivenWLEexamination.Twogroupsoflesionswerebiopsyorendoscopicresectionofspecimenspathologicalexamination.Comparedtheendoscopicdiagnosisandpathologicaldiagnosisoftwogroups.Calculatedthesensitivity,specificity,positivepredictivevalue,negativepredictivevalueandaccuracyof
7、endoscopicdiagnosis-ResultsTncontrolgroup,80casesofcancerouslesionswerediagnosedbyWLEendoscopy,ofwhich10caseswerecancerousand70caseswerenon-cancerousconfirmedbythefinal“goldstandard”pathologicaldiagnosis.WLEendoscopicdiagnosisofnon-cancerouslesionsin28cases,thefinal
8、“goldstandard”pathologicaldiagnosisconfirmednon-cancerous.Tnobservationgroup,ME-NBIendoscopicdiagnosisofcancerouslesionsin14cases,thefinal
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