窄带成像技术、染色技术及超声小探头联合应用在早期食管癌中的诊断价值  

Value of combined application of NBI staining technology and ultrasonic miniprobe in early diagnosis of esophageal cancer

作　　者：段莎莎[1] 韩文良 

机构地区：[1]河南新乡市中心医院内镜诊疗部,新乡453000

出　　处：《河南外科学杂志》2017年第3期16-18,共3页Henan Journal of Surgery

摘　　要：目的探讨窄带成像技术、染色技术及超声小探头联合应用在早期食管癌中的价值。方法选取2015-09—2016-09间普通白光胃镜检查存在食管可疑病变患者320例,按随机数字法分为2组,各160例。A组行普通白光内镜检查,B组进行普通白光+NBI+复方碘染色内镜+超声小探头内镜检查。所有病变部位均取活检,以病理结果为诊断的金标准。比较2组检查的灵敏度、特异度、准确率。结果 A组检查的灵敏度、特异度、准确率分别为82.14%、78.03%、78.75%;B组检查的灵敏度、特异度、准确率分别为94.59%、83.74%、86.25%。2组灵敏度、特异度无统计学差异(P>0.05)。B组准确率明显高于A组,差异有统计学意义(P<0.05)。结论窄带成像技术、染色技术及超声小探头联合应用可提高早期食管癌的检出率,实用简单,值得临床推广应用。Objective To investigate the value of the combined application of NBI staining technology and ultrasonic miniprobe in the early diagnosis of esophageal cancer. Methods Select 320 patients of esophageal suspicious lesions which are examed by ordinary white light gastroscopy from september 2015 to september 2016. Divided them into A observation group and B control group by random number table method,each group consisted of 160 cases. Group A use ordinary white light gastroscopy,group B use NBI ＋ staining technology ＋ ultrasonic miniprobe. All lesions are taken biopsies, taking the pathologic result as gold standards. To compare two groups of the sensitivity, specificity and accuracy. Results The sensitivity, specificity and accuracy of group A are 82. 14% ,78. 03% ,78. 75%. The sensitivity, specificity and accuracy of group B are 94. 59% ,83.74% ,86. 25%. The sensitivity, specificity of two groups are no significant difference（ P 〉 0. 05 ）. The accuracy of group B is apparently higher than that of group A which is statistically significant （ P 〈 0. 05 ）. Conclusion The detection rates of the early diagnosis of esophageal cancer can be increased by the combined application of NBI staining technology and ultrasonic miniprobe, which is simple and practical, deserves further clinical applications.

关 键 词：食管癌 窄带成像技术 染色技术 超声小探头 

分 类 号：R445.1[医药卫生—影像医学与核医学]