内镜窄带光成像对儿童食管息肉的诊断价值  

Clinical value of narrow-band imaging endoscopy in children with esophageal polyps

作　　者：冯玉灵 张海军[1] 林凯[1] 顾竹珺[1] 汪星[1] 刘海峰[1] Feng Yuling;Zhang Haijun;Lin Kai;Gu Zhujun;Wang Xing;Liu Haifeng(Department of Endoscopy Center,Children's Hospital of Shanghai,Children's Hospital of Shanghai Jiaotong University,Shanghai 200062,China)

机构地区：[1]上海市儿童医院上海交通大学附属儿童医院内镜中心,上海200062

出　　处：《中华消化内镜杂志》2022年第4期318-321,共4页Chinese Journal of Digestive Endoscopy

基　　金：上海市卫生和计划生育委员会卫生健康行业临床研究专项(201840341);上海市卫生健康委员会卫生行业临床研究专项(20194Y0139)。

摘　　要：为探讨内镜窄带光成像技术(narrow-band imaging,NBI)对儿童食管息肉的诊断价值,在白光内镜及NBI内镜下分别对2016年1月-2020年6月上海市儿童医院的35例患儿的食管息肉进行微细形态的观察,以病理检查结果作为金标准,分析和对比白光内镜与NBI内镜诊断息肉的灵敏度及特异度。35例患儿共发现食管息肉70枚,其中27例患儿为单发息肉。病理结果提示息肉以非肿瘤性息肉为多(52.9%,37/70)。 NBI内镜诊断肿瘤性息肉的灵敏度[93.9%(31/33)比90.9%(30/33)]和特异度[89.2%(33/37)比78.4%(29/37)]优于传统白光内镜,灵敏度差异有统计学意义(P<0.001),特异度差异无统计学意义(P=0.864)。NBI内镜通过观察食管息肉的微细结构,有助于临床预判息肉的病理性质,其灵敏度优于白光内镜。To investigate the diagnostic value of narrow-band imaging(NBI)endoscopy for esophageal polyps in children.Microscopic morphology of various polyps in 35 children with esophageal polyps in Children's Hospital of Shanghai from January 2016 to June 2020 were observed under both traditional white light endoscopy and NBI endoscopy.The sensitivity and specificity of traditional white light endoscopy and NBI endoscopy were compared with the pathological results as the gold standard.A total of 70 esophageal polypoid lesions were found in 35 children,including 27 single polyps.Pathological results indicated that the majority of polyps were non-neoplastic polyps(52.9%,37/70).The sensitivity of NBI endoscopy in the diagnosis of esophageal neoplastic polyps was significantly higher than that of white light endoscopy[93.9%(31/33)VS 90.9%(30/33),P<0.001],and the specificity was also higher[89.2%(33/37)VS 78.4%(29/37),P=0.864].By observing the microscopic structure of esophageal polyps,NBI endoscopy contributes to the clinical prediction of the pathological properties of polyps.Its sensitivity is superior to the white light endoscopy.

关 键 词：儿童 息肉 食管 内窥镜检查 窄带光成像内镜 

分 类 号：R725.7[医药卫生—儿科]