探究窄带成像联合放大内镜诊断慢性萎缩性胃炎及肠上皮化生的临床价值  

Exploring the Clinical Value of Narrow-band Imaging Combined with Magnifying Endoscopy in the Diagnosis of Chronic Atrophic Gastritis and Intestinal Metaplasia

作　　者：王文平 沈秀云 王芳军[1] 刘华敏[1] WANG Wenping;SHEN Xiuyun;WANG Fangjun;LIU Huamin(Department of Gastroenterology,Jiangyin Hospital Affiliated to Medical College of Southeast University,Jiangyin,Jiangsu Province,214400 China)

机构地区：[1]东南大学医学院附属江阴医院消化内科,江苏江阴214400

出　　处：《系统医学》2022年第8期96-99,共4页Systems Medicine

摘　　要：目的分析窄带成像联合放大内镜诊断慢性萎缩性胃炎及肠上皮化生的临床价值。方法选择该院2020年1—12月期间收治的疑似慢性胃炎患者60例。以上对象分别接受普通白光内镜检查、窄带成像联合放大内镜诊断。经内镜检查完成,所有患者接受病理化验,并将其作为临床检验的金标准,分析窄带成像联合放大内镜诊断的临床价值。结果经诊断,该组患者普通白光内镜诊断萎缩性胃炎的准确率70.00%(42/60)、灵敏度78.95%(30/38)、特异性54.55%(12/22)都较窄带成像联合放大内镜91.67%(55/60)、94.74%(36/38)、86.36%(19/22)低(P<0.05);该组患者窄带成像联合放大内镜诊断肠上皮化生的准确率93.33%(56/60)、灵敏度97.50%(39/40)、特异性85.00%(17/20)也较普通白光内镜68.33%(41/60)、77.50%(31/40)、50.00%(10/20)高,差异有统计学意义(P<0.05)。结论针对慢性萎缩性胃炎及肠上皮化生患者,临床选择窄带成像联合放大内镜检查,具有较高的临床诊断价值,临床优势较高。Objective To analyze the clinical value of narrow-band imaging combined with magnifying endoscopy in the diagnosis of chronic atrophic gastritis and intestinal metaplasia.Methods 60 patients with suspected chronic gastritis admitted to the hospital from January to December 2020 were selected.The above objects were diagnosed by ordinaryte light endoscopy,narrow-band imaging combined with magnifying endoscopy.After the endoscopy was completed,all patients received pathological tests,which were used as the gold standard for clinical tests to analyze the clinical value of narrow-band imaging combined with magnifying endoscopy.Results After diagnosis,the accuracy rate of 70.00%(42/60),sensitivity 78.95%(30/38)and specificity 54.55%(12/22)of ordinary white light endoscopy in the diagnosis of atrophic gastritis were lower than 91.67%(55/60),94.74%(36/38)and 86.36%(19/22)of narrow-band imaging combined with magnifying endoscopy(P<0.05);The accuracy of narrow-band imaging combined with magnifying endoscopy in the diagnosis of intestinal metaplasia was 93.33%(56/60),the sensitivity was 97.50%(39/40),and the specificity was 85.00%(17/20).The difference was statistically significant(P<0.05).Conclusion For patients with chronic atrophic gastritis and intestinal metaplasia,the clinical choice of narrowband imaging combined with magnifying endoscopy has high clinical diagnostic value and high clinical advantages.

关 键 词：窄带成像 放大内镜 慢性萎缩性胃炎 肠上皮化生 诊断价值 

分 类 号：R5[医药卫生—内科学]