窄带成像放大肠镜下NICE分型对结直肠小息肉的诊断价值  

Efficacy of NICE classification under magnifying narrow-band imaging in the diagnosis of small colorectal polyps

作　　者：沙杰[1] 朱炳良[1] 徐丽芳[1] 陈琳[1] 龚洁[1] 鞠艳云[1] 巢烨[1] 陈银君[1] 

机构地区：[1]江苏省靖江市人民医院消化科,江苏靖江214500

出　　处：《中国内镜杂志》2015年第11期1134-1137,共4页China Journal of Endoscopy

基　　金：泰州市第四期"311高层次人才培养工程"资助项目(No:2012);泰州市科技发展计划资助项目(No:2012)

摘　　要：目的探讨窄带成像(NBI)放大肠镜下NICE分型对结直肠小息肉的诊断价值。方法对肠镜检查发现的264个结直肠小息肉进行窄带成像放大肠镜检查,观察病灶表面的颜色、血管以及腺管开口,根据NICE分型预测息肉的性质,与内镜下切除或外科手术后的病理结果进行对比分析。结果窄带成像放大肠镜下NICE分型判断结直肠肿瘤性小息肉的敏感性、特异性、准确性、阳性预测值和阴性预测值分别为:93.6%(102/109)、96.1%(149/155)、95.1%(251/264)、94.4%(102/108)和95.5%(149/156)。结论 NBI放大肠镜下NICE分型可较好的区分结直肠肿瘤性小息肉和非肿瘤性小息肉,对于"切除丢弃"的治疗策略具有重要的指导价值。[ Objective ] To investigate the diagnostic efficacy of magnifying narrow-band imaging in distinguishing neoplastic from non-neoplastic small colorectal polyps, using NICE （NBI international colorectal endoscopy） classification system. [Methods] A total of 264 small colorectal polyps were enrolled in this study. Each lesion was observed by magnifying narrow-band imaging, and the histology was predicted according to NICE classification system. The results were compared with histologic findings. [ Results ] The diagnostic sensitivity, specificity, accuracy, PPV, and NPV of magnifying narrow-band imaging were 93.6% （102/109）,96.1% （149/155）,95.1% （251/264）,94.4% （102/108） and 95.5% （149/156）, respectively. [Conclusion] NICE classification system with magnifying narrowband imaging is effective in distinguishing neoplastic from non-neoplastic small colorectal polyps.

关 键 词：窄带成像 放大肠镜 NICE分型 结直肠小息肉 

分 类 号：R574.6[医药卫生—消化系统]