窄带成像放大内镜在Barrett食管诊断中的应用  

Applications of narrow band imaging system with magnifying endoscopy in the diagnosis of Barrett' s esophagus

作　　者：张顺杰[1] 

机构地区：[1]广西钦州市第二人民医院消化内1科,535000

出　　处：《临床合理用药杂志》2015年第8期13-14,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的了解窄带成像放大内镜(NBI-ME)在诊断Barrett食管中的临床价值。方法选择2012年1月-2013年10月内镜下肉眼观胃食管结合处(GEJ)近端出现桔红色柱状上皮的患者86例,按掷硬币法随机分为观察组47例和对照组39例。观察组在窄带成像放大内镜下取活检;对照组在常规胃镜下取活检。结果观察组中肠上皮化生者26例(55.3%),其中不典型增生4例;对照组中肠上皮化生者9例(23.1%),其中不典型增生1例。2组比较差异有统计学意义(P<0.05)。结论窄带成像放大内镜能有效提高Barrett食管的检出率,有一定的临床推广价值。Objective To study the clinical value of narrow band imaging system with magnifying endoscopy in the diagnosis of Barrett＇s esophagus. Methods From January 2012 to October 2013,86 cases of patients whose endoscopic eye view of the gastroesophageal junction（ GEJ） proximal appearred orange red columnar epithelium,were randomly divided into observation group（ 47 cases） and control group（ 39 cases） according to the coin toss method. The observation group was took biopsies with narrow band imaging system; and the control group received the conventional endoscopic biopsy. Results In observation group,26 cases（ 55. 3%） was pathological findings of intestinal metaplasia,including 4 cases of atypical hyperplasia; The control group,9 patients（ 23. 1%） was intestinal metaplasia,including 1 case of atypical hyperplasia,the difference was statistically significant（ P〈0. 05）. Conclusion The narrow band imaging system with magnifying endoscopy can effectively improve the detection rate of Barrett＇s esophagus,there is some clinical value.

关 键 词：窄带成像放大内镜 BARRETT食管 胃食管反流病 

分 类 号：R571[医药卫生—消化系统]