放大内镜结合窄带成像对早期食管癌诊断的临床意义  

Magnifying endoscopy combined with narrow-band imaging in diagnosis of early esophageal cancer

作　　者：贾萌萌[1] 周英发[1] Jia Mengmeng;Zhou Yingfa(Department of Gastroenterology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院消化内科

出　　处：《临床荟萃》2019年第8期734-738,共5页Clinical Focus

摘　　要：目的探讨放大内镜结合窄带成像(magnifying endoscopy with narrow-band imaging,ME-NBI)及镜下分型对诊断早期食管癌的临床意义。方法回顾性分析2015年1月至2017年1月于郑州大学第二附属医院消化内科病区住院且符合纳入标准的早期食管癌及癌前病变患者79例,观察符合纳入标准患者的年龄、性别、病变部位、内镜下形态分型、ME和ME-NBI的微结构和微细血管形态、内镜下诊断结果和病理诊断结果。结果ME-NBI对食管病变部位、微结构和微血管形态的观察比普通内镜更有优势(P<0.01)。运用KAPPA一致性检验判断内镜下诊断与术后病理诊断关系,KAPPA系数为0.47,提示内镜下诊断与术后病理结果有良好的一致性。结论ME-NBI及其井上分型对早期食管肿瘤性疾病有良好的预测价值,其内镜下诊断与术后病理结果有较好的一致性。Objective To explore the clinical significance of magnifying endoscopy combined with narrow band imaging in the diagnosis of early esophageal cancer. Methods This retrospective study was performed in the Second Affiliated Hospital of Zhengzhou University form January 2015 to January 2017.There were 79 cases of early esophageal cancer and precancerous lesions.The relationships between age and sex,location,and endoscopic morphological classification of lesions in the patients were observed and analyzed. Results ME-NBI was significantly superior to WLI in identifying the lesion site,morphology,pit pattern and microvascular structure in esophagus( P < 0.01 ).The endoscopic diagnosis of the lesions and their postoperative pathological were in a statistically good consistency (kappa coefficient= 0.47 ).These results indicated that IPCL classification had a good predictive value for early esophageal neoplastic disease diagnosis. Conclusion PCL classification has a good predictive value for early diagnosis of esophageal neoplastic diseases.According to IPCL classification,endoscopic diagnosis and postoperative pathological results were in a good consistency.

关 键 词：食管肿瘤 内窥镜检查 胃肠道 

分 类 号：R573[医药卫生—消化系统]