NBI放大内镜联合超声内镜诊断早期食管癌23例分析  

Narrow band imaging combined with endoscopic ultrasounography for diagnosis of early esophageal carcinoma

作　　者：孙文静[1] 刘海燕[1] 沈小春[1] 杨莹莹[1] 曹艳[1] 李平[1] 敖兴[1] 肖前松 司颖[1] 陈东风[1] 兰春慧[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所消化内科,重庆400042

出　　处：《胃肠病学和肝病学杂志》2015年第3期338-340,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的 探讨NBI放大内镜联合超声内镜对早期食管癌的诊断价值.方法 对2011年5月-2012年10月于第三军医大学大坪医院接受白光内镜、NBI放大内镜及超声内镜检查并针对早期食管癌患者进行回顾性分析.结果 本组共23例患者,经病理诊断病灶共25处,食管原位鳞癌12处,食管黏膜内鳞癌4处,胃食管连接部黏膜内腺癌2处,食管高级别上皮内瘤变7处.25处病灶的食管上皮乳头内毛细血管形态（intra-epithelial papillary capillary loop,IPCL）分型为IPCL-Type-Ⅳ型、Ⅴ1型及Ⅴ2型为主23处,IPCL-Type-Ⅴ3和Ⅴn型改变为主2处.病灶超声内镜下表现为第1～3层结构增厚.结论 NBI放大内镜联合超声内镜有助于早期食管癌病变浸润深度的评价.Objective To investigate the value of narrow band imaging （NBI） combined with endoscopic uhrasonog- raphy in the diagnosis of early esophageal carcinoma. Methods A total of 23 patients diagnosed as early esophageal carcinoma via white light, NBI and endoscopic ultrasonography from May. 2011 to Oct. 2012 were retrospectively ana- lyzed. Results Among the 23 patients, a total of 25 lesions were diagnosed by pathological examination. Tweleve le- sions were diagnosed as esophageal squamous cell carcinoma in situ, 4 lesions were esophageal mucosal squamous cell carcinoma, 2 lesions were gastroesophageal junction intramucosal adenocarcinoma, and 7 lesions were esophageal high- grade intraepithelial neoplasia. Twenty-three lesions were intra-epithelial papillary capillary loop（IPCL） -Type-IV, V 1 and V2, the other 2 lesions were IPCL-Type-V3 and Vn. The endoscopic ultrasongraphy showed thickened layer from the mucosa layer to the submucosal layer. Conclusion NBI combined with endoscopic uhrasounography is helpful for evaluation of the invasion of the early esophageal carcinoma.

关 键 词：内镜检查 窄带成像 超声内镜 早期食管癌 诊断 

分 类 号：R735.1[医药卫生—肿瘤]