内镜窄带成像联合醋酸及靛胭紫染色在早期胃癌及癌前病变诊断中的应用价值  

Application value of endoscopic narrow-band imaging combined with acetic acid and indigo violet staining in the diagnosis of early gastric cancer and precancerous lesions

作　　者：马娅梅[1] 何汉红 余庆邦 石胜利[1] MA Yamei;HE Hanhong;YU Qingbang;SHI Shengli(Department of Gastroenterology,Xiaolan People's Hospital of Zhongshan,Guangdong,Zhongshan 528415,China)

机构地区：[1]广东省中山市小榄人民医院消化内科,广东中山528415

出　　处：《中国医药科学》2021年第2期184-186,190,共4页China Medicine And Pharmacy

基　　金：广东省中山市社会公益科技研究项目(2019B1004)。

摘　　要：目的在早期胃癌及癌前病变诊断中内镜窄带成像联合醋酸及靛胭紫染色检测的临床价值分析。方法选取2017年3月至2019年12月在广东省中山市小榄人民医院接受治疗的早期胃癌患者19例,癌前病变患者100例,均已经病理诊断确诊。所有患者均接受常规胃镜检查、内镜窄带成像以及醋酸及靛胭紫染色检测,以常规胃镜检查结果为对照1组,以内镜窄带成像检查结果为对照2组,以内镜窄带成像联合醋酸及靛胭紫染色检测为观察组,对比三组检查结果的准确率以及成像质量。结果经检测后,观察组膜微血管结构清晰度3分率显著高于对照1组以及对照2组,差异有统计学意义(P<0.05);观察组病灶轮廓结构清晰度3分率显著高于对照1组以及对照2组,差异有统计学意义(P<0.05);观察组病灶轮廓结构清晰度3分率显著高于对照1组以及对照2组,差异有统计学意义(P<0.05);观察组诊断准确率显著高于对照1组以及对照2组,差异有统计学意义(P<0.05)。结论在早期胃癌及癌前病变诊断中内镜窄带成像联合醋酸及靛胭紫染色检测具有较高的应用价值,其成像清晰度较高,诊断准确率更高。Objective To analyze the clinical value of endoscopic narrow-band imaging combined with acetic acid and indigo violet staining in the diagnosis of early gastric cancer and precancerous lesions.Methods 19 patients with early gastric cancer and 100 patients with precancerous lesions admitted to our hospital from March 2017 to December 2019 were selected,and they were all confirmed by pathological diagnosis.All patients were given conventional gastroscopy,endoscopic narrow-band imaging and detection with acetic acid and indigo violet.The results of conventional gastroscopy were taken as the control group 1,those of endoscopic narrow-band imaging were taken as the control group 2,and those of endoscopic narrow-band imaging combined with acetic acid and indigo violet were taken as the observation group.The accuracy rate and imaging quality of the three groups were compared.Results After detection,it could be seen that the 3-point rate of membrane microvascular structure clarity in the observation group was significantly higher than those in the control group 1 and the control group 2,and the difference was statistically significant(P<0.05).The 3-point rate of lesion contour structure clarity in the observation group was significantly higher than those in the control group 1 and the control group 2,with statistically significant difference(P<0.05).The 3-point rate of lesion contour structure clarity in the observation group was significantly higher than those in the control group 1 and the control group 2,with statistically significant differences(P<0.05).The diagnostic accuracy of the observation group was significantly higher than those of the control group 1 and the control group 2,with statistically significant difference(P<0.05).Conclusion Endoscopic narrow-band imaging combined with acetic acid and indigo violet staining has high application value in the diagnosis of early gastric cancer and precancerous lesions,with higher imaging clarity and higher di agnostic accuracy.

关 键 词：早期胃癌 癌前病变 内镜窄带成像 

分 类 号：R753.2[医药卫生—皮肤病学与性病学]