结直肠无蒂锯齿状腺瘤内镜下诊断的进展  

Endoscopic diagnosis of sessile serrated adenoma

作　　者：邱野[1] 付祥胜[1] 彭燕[1] 

机构地区：[1]泸州医学院附属医院消化内科,四川省泸州市646000

出　　处：《世界华人消化杂志》2014年第6期801-806,共6页World Chinese Journal of Digestology

摘　　要：无蒂锯齿状腺瘤(sessile serrated adenoma,SSA)是结直肠锯齿状病变中的特殊类型,近年来研究发现SSA具有恶变潜能,且进展快,与右半结直肠癌的发生密切相关.SSA通常位于近端结肠,扁平无蒂,普通内镜下较难发现,漏诊率高.因此,临床上迫切需要开展新的内镜检查技术,以提高SSA的诊断率.本文就近年来内镜新技术对SSA诊断的研究进展作一综述.Sessile serrated adenoma （SSA） is a special type of serrated adenoma, and recent studies have found that SSA has a malignant potential pro- gresses quickly and is closely related to right- sided colorectal cancer. SSA is usually located in the proximal colon, which is flat and sessile, and-for this reason, SSA is difficult to find by conventional endoscopy and has a high rate of missed diagnosis. There is currently an urgent need to develop new endoscopic technologies to raise the diagnosis rate. In this paper, we will review recent progress in the diagnosis of sessile serrated adenoma using new endoscopic tech- nologies.

关 键 词：锯齿状息肉 无蒂锯齿状腺瘤 结直肠癌 放大色素内镜 窄带内镜 细胞内镜 共聚焦内镜 

分 类 号：R735.3[医药卫生—肿瘤]