内镜窄带成像技术联合粪便隐血试验诊断胃癌的临床价值分析  

Clinical Values of Narrow-band Imaging Combined with Fecal Occult Blood Test in the Diagnosis of Gastric Cancer

作　　者：杨婷 吕志武 吴建维[1] 胡敏[1] 林丽嫚[1] YANG Ting;LV Zhiwu;WU Jianwei;HU Min;LIN Liman(Baoan District People＇s Hospital of Shenzhen 518101,China)

机构地区：[1]深圳市宝安区人民医院,广东深圳518101

出　　处：《中国医药科学》2018年第19期205-207,共3页China Medicine And Pharmacy

基　　金：广东省深圳市宝安区科技创新局科研项目(2012180)

摘　　要：目的探究内镜窄带成像技术(NBI)联合粪便隐血试验(FOBT)诊断胃癌的临床价值。方法回顾性分析2015年8月～2017年8月于我院行胃镜检查的116例疑似胃癌患者的临床资料。所有患者均行NBI检查和FOBT,以术后病理结果为"金标准",评估NBI、FOBT及两者联合诊断对胃癌的诊断准确性并进行比较。结果 NBI与FOBT联合诊断胃癌的灵敏度、特异度、准确率分别为92.31%(60/65)、92.16%(47/51)、92.24%(107/116),其灵敏度、准确率均高于FOBT单一诊断,准确率也高于NBI单一诊断(P <0.05)。结论 NBI与FOBT联合诊断胃癌的准确性高于单一诊断,具有较高的诊断价值。Objective To explore the clinical values of narrow-band imaging （NBI） combined with fecal occult blood test （FOBT） in the diagnosis of gastric cancer. Methods The clinical data of 116 suspected gastric cancer patients treated with gastroseopy in our hospital from August 2015 to August 2017 were analyzed retrospectively. All patients were given NBI and FOBT.The postoperative pathological results were taken as gold standard,and the diagnostic accuracies of NBI,FOBT and their combined diagnosis of gastric cancer were evaluated and compared. Results The sensitivity,specificity and accuracy of NBI combined with FOBT were 92.31%（60/65）,92.16%（47/51） and 92.24%（107/116） respectively in diagnosing gastric cancer,and the sensitivity and accuracy were higher than those of single FOBT,and the accuracy was also higher than that of single NBI （P 〈 0.05）. Conclusions The accuracy of NBI combined with FOBT in diagnosis of gastric cancer is higher than tha｜ of single diagnosis, and the former one has high diagnostic values.

关 键 词：内镜窄带成像技术 粪便隐血试验 胃癌 诊断价值 

分 类 号：R735.2[医药卫生—肿瘤]