超声内镜联合自体荧光内镜在早期食管癌诊断中的价值  

Diagnostic value of endoscopic ultrasonography combined with autofluorescence imagingin early esophageal carcinoma

作　　者：鹿博[1] 吴明波[1] 周甜[1] 王艳[1] 熊轩轩[1] 张双双[1] 张海燕[1] 

机构地区：[1]徐州市中心医院消化科,江苏徐州221009

出　　处：《现代医学》2016年第8期1053-1055,共3页Modern Medical Journal

基　　金：江苏省徐州市科技计划项目(社会发展项目)基金资助(KC14SH022)

摘　　要：目的:探讨超声内镜联合自体荧光内镜在早期食管癌诊断中的价值。方法:回顾性分析30例经普通白光内镜诊断为食管黏膜病变后行超声内镜联合自体荧光内镜检查患者的临床资料,并与病变组织病理学检查结果进行对比,分析两种检查方法联合对早期食管癌的诊断价值。结果:30例食管黏膜病变的患者经手术病理学确诊为早期食管癌9例。超声内镜联合自体荧光内镜检查诊断早期食管癌准确度、敏感度、特异度分别为88.89%(8/9)、88.89%(8/9)、95.24%(20/21)。结论:超声内镜联合自体荧光内镜可提高食管病变诊断率,对早期食管癌具有较高的诊断准确率。Objective： To analyze the clinical value of endoscopic ultrasonography（ EUS） combined with autofluorescence imaging（ AFI） in the diagnosis of early esophageal carcinoma. Methods： The clinical data of 30 patients with esophageal mucosal lesions were analyzed retrospectively,who had underwent EUS combined with AFI.The results were compared with histopathological diagnoses. The diagnostic value of EUS combined with AFI was analyzed. Results： Among the 30 patients,9 cases were diagnosed with early esophageal carcinoma by operative pathology. Accuracy,sensitivity and specificity in diagnosis of early esophageal cancer by EUS combined with AFI were 88. 89%（ 8 /9）,88. 89%（ 8 /9） and 95. 24%（ 20 /21） respectively. Conclusion： EUS combined with AFI can improve the diagnostic rate of esophageal lesions,and enhance the diagnostic accuracy for early esophageal carcinoma.

关 键 词：早期食管癌 超声内镜 自体荧光内镜 

分 类 号：R571[医药卫生—消化系统]