内镜窄带成像技术在Barrett食管诊断中的应用探讨(附32例报告)  

作　　者：金桂芳[1] 汤勇[2] 

机构地区：[1]新疆维吾尔自治区人民医院北院消化内科,830054 [2]新疆阿勒泰地区人民医院内一科,836500

出　　处：《中国社区医师（医学专业）》2011年第27期204-204,共1页

摘　　要：目的:探讨内镜窄带成像技术(NBI)在诊断Barrett食管中的应用价值。方法:回顾性分析2007年10月～2010年12月经胃镜检查,同时病理确诊的Bar-rett食管患者32例。分别在普通内镜模式和NBI模式下,观察食管黏膜病变轮廓并以计算图像清晰度评分,在病变处靶向下取活检行病理检查。结果:普通内镜模式下发现病变20例(62.5%),NBI模式下发现病变26例(81.2%),NBI模式下对病变的检出率明显高于普通内镜模式下(P<0.05)。结论:NBI技术操作简便,对Barrett食管病变轮廓显示清晰,对BE及癌前病变的诊断具有重要的实用价值,并有助于为内镜下黏膜病变准确切除提供依据。Objective：To evaluate the value of narrow- band imaging （NBI） in the diagnosis of Barrettg esophagus. Methods：Retrospectively analysis 32 patients from Oct, 2007 to Dec,2010,who were diagnosed with Barrett＇esophagus by gastrocopies and pathological examinations, were observed under the ordinary endoscopy and NBI respectively. The silhouette of the esophageal mucosal lesions were calculated and scored in terms of the clarity of the image. Besides, the target lesions was taken to be biopsied and pathologically examined. Results： The lesions of only 20 patients （62. 5% ） were detected by ordinary endoscopy, while 26 patients （ 81.2% ） could be detected by NBI endoscopy. The lesion detecting rate by NBI was much higher than that by the ordinary endoscopy （ P 〈 0. 05 ）. Conclusions ： NBI is very easy to operate and has a clear lesion silhouette of Barrett＇s esophagus, which not only have great value for BE and precancerous lesions, but also provide an accurate basis for endoscopic mucosal resection.

关 键 词：BARRETT 食管 内镜检查 窄带成像技术 

分 类 号：R571[医药卫生—消化系统]