ME-NBI辅助诊断胃异位胰腺的价值  

Evaluation of the efficacy of ME-NBI in the diagnosis of gastric heterotopic pancreas

作　　者：李建琦[1,2] 李红萍 陈文习[1] 任宏宇[2] 刘俊[2] LI Jian-qi;LI Hong-ping;CHEN Wen-xi;REN Hong-yu;LIU Jun(Department of Gastroenterology,the Ezhou Center Hospital,436000 Ezhou,Hubei,China;Department of Gastroenterology,Union Hospital,Huazhong University of Science and Technology,430022 Wuhan,China)

机构地区：[1]鄂州市中心医院,湖北鄂州436000 [2]华中科技大学协和医院消化内科,湖北武汉430022

出　　处：《临床消化病杂志》2021年第6期414-417,共4页Chinese Journal of Clinical Gastroenterology

基　　金：国家自然科学基金资助项目(No:81403003);重大新药创制国家重大专项(No:2012 ZX09501001)。

摘　　要：[目的]探索NBI放大胃镜(ME-NBI)在辅助诊断胃异位胰腺的效果。[方法]收集80例经内镜黏膜下剥离术(ESD)、其病变标本行组织病理学诊断为异位胰腺的患者,ESD前均行超声内镜(EUS)和ME-NBI检查,EUS检查和ME-NBI检查无先后顺序,随机进行;比较EUS与ME-NBI诊断胃异位胰腺准确率的差异。[结果]80例中76例病变位于胃窦部,4例病变位于胃体部,EUS诊断胃异位胰腺的准确率为93.75%(75/80);ME-NBI诊断胃异位胰腺准确率为85.0%(68/80),二者之间比较差异无统计学意义(χ^(2)=3.225,P=0.073);[结论]ME-NBI可显示胃异位胰腺表面微小导管开口,对辅助诊断胃异位胰腺具有重要临床价值。[Objective]Aim to explore the effect of magnifying endoscopy with narrow-band imaging(ME-NBI)in the diagnosis of gastric heterotopic pancreas.[Methods]Eighty patients who underwent endoscopic submucosal dissection(ESD)and underwent histopathological diagnosis of heterotopic pancreas were enrolled.Endoscopic ultrasonography(EUS)and ME-NBI examinations were performed before submucosal dissection.Endoscopic ultrasonography and ME-NBI examinations were performed randomly.The accuracy of endoscopic ultrasonography and ME-NBI in the diagnosis of gastric heterotopic pancreas was compared.[Results]Of the 80 patients,76 were located in the gastric antrum and 4 were located in the gastric body.The accuracy of EUS in diagnosing gastric heterotopia pancreas was 75/80.Accuracy rate of ME-NBI in the diagnosis of gastric heterotopic pancreas was(68/80).There was no statistically significant difference between the two examination methods(χ^(2)=3.225,P=0.073).[Conclusion]The characteristic ME-NBI feature of heterotopic pancreas is presence of a microscopic opening on its surface.This ME-NBI feature is potentially useful for differentiating heterotopic pancreas from other gastric submucosal tumors.

关 键 词：异位胰腺 NBI放大胃镜 超声内镜 

分 类 号：R322.4[医药卫生—人体解剖和组织胚胎学]