内镜窄带成像技术对十二指肠胃上皮化生和胃黏膜异位诊断价值的研究  

Diagnostic value of endoscopic narrow-band imaging in duodenal heterotopic gastric mucosa and gastric duodenal metaplasia

作　　者：李杨[1] 汪全红[1] 邢益祥 

机构地区：[1]铜陵市人民医院消化内科,244000 [2]铜陵市人民医院病理科,244000

出　　处：《国际消化病杂志》2018年第1期37-41,共5页International Journal of Digestive Diseases

基　　金：铜陵市卫计委科研项目(201412)

摘　　要：目的探讨内镜窄带成像(NBI)技术对十二指肠胃上皮化生和胃黏膜异位的诊断价值。方法选择十二指肠胃上皮化生/胃黏膜异位和炎性表浅隆起型病变为研究对象,记录患者性别、年龄,在内镜NBI模式下观察病变分布、多发病变间融合、病变大小、病变血管结构和表面结构,比较两组的各项观察指标是否存在差异。结果 72例研究对象中,胃上皮化生/胃黏膜异位组35例(48.61%),炎性反应组37例(51.39%),单因素和多因素分析均提示,两组间性别、年龄、病变分布、多发病变间融合、病变大小和病变血管结构的差异均无统计学意义(P均>0.05),病变黏膜表面结构的差异有统计学意义(P<0.05)。结论应用内镜NBI技术,可对十二指肠胃上皮化生和胃黏膜异位与炎性病变进行初步鉴别,从而引导靶向性活组织检查,可提高诊断准确性。Objective This paper aims to investigate the diagnostic value of narrow-band imaging in patients with gastric duodenal metaplasia and duodenal heterotopic gastric mucosa.Methods Patients with gastric duodenal metaplasia/duodenal heterotopic gastric mucosa and duodenal inflammatory superficial elevated lesions were selected.Their gender and age were recorded.Their lesion distribution,fusion of multiple lesions,lesion size,and vascular and surface pattern were evaluated in NBI mode.All the parameters between the two groups were compared to determine if there was any significant difference.Results The univariate and multivariate analyses indicated that in the 72 cases collected,35(48.61%)cases were gastric duodenal metaplasia/duodenal heterotopic gastric mucosa while 37(51.39%)cases were inflammation.There was no significant difference in gender,age,lesion distribution,fusion of multiple lesions,lesion size,and vascular pattern between the two groups(P>0.05),but the surface pattern between the two groups was significantly different(P <0.05).Conclusions Gastric duodenal metaplasia and duodenal heterotopic gastric mucosa can be preliminarily differentiated from inflammation by NBI.Meanwhile,diagnosis accuracy can be improved by target biopsy.

关 键 词：窄带成像 胃上皮化生 胃黏膜异位 表浅隆起型病变 

分 类 号：R735.3[医药卫生—肿瘤]