共聚焦激光显微内镜在老年人食管及胃黏膜病变中的应用  

Applications of confocal laser microendoscopy for esophageal and gastric mucosal lesions in elderly

作　　者：杨落落[1] 陈更[1] 孟祥伟[1] 时阳[1] Yang Luoluo;Chen Geng;Meng Xiangwei;Shi Yang(Department of Gastroenterology and endoscopy center,the First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院胃肠内科内镜中心,长春130021

出　　处：《中华老年医学杂志》2024年第1期86-91,共6页Chinese Journal of Geriatrics

基　　金：吉林省医疗卫生人才专项(JLSWSRCZX2021-063)。

摘　　要：老年人消化系统慢性病呈上升趋势,重视老年群体食管及胃黏膜病变的诊断及监测,将有助于降低上消化道恶性病变的发病率。随着消化内镜技术的不断发展,诸多内镜设备、技术应运而生,共聚焦激光显微内镜作为一种新型的显微成像技术,能够在体内黏膜表面进行实时活体组织细胞学检查,在老年人群胃食管反流病、巴雷特食管、食管高级别上皮内瘤变、早期食管鳞癌、萎缩性胃炎、胃黏膜癌前状态和癌前病变的实时诊断中具有重要价值。因此有必要了解共聚焦激光显微内镜在老年人群食管及胃黏膜病变中的应用,为临床医生的诊疗决策提供参考。Chronic diseases of the digestive system are becoming more prevalent in the elderly population.To reduce the occurrence of malignant lesions in the upper gastrointestinal tract,it is important to focus on diagnosing and monitoring esophageal and gastric mucosal lesions in the elderly.The advancement of gastrointestinal endoscopy technology has led to the development of various endoscopic equipments and techniques.One such technology is confocal laser microendoscopy,which allows real-time biopsy and cytology of the mucosal surface.This technology holds significant value in the real-time diagnosis of conditions like gastroesophageal reflux disease(GERD),Barrett's esophagus,esophageal high-level intraepithelial neoplasia,early esophageal squamous carcinoma,atrophic gastritis,and pre-cancerous gastric mucosa in the elderly.Understanding the application of confocal laser microendoscopy in diagnosing esophageal and gastric mucosal lesions in the elderly is crucial for clinicians in making diagnostic and therapeutic decisions.

关 键 词：内窥镜检查 消化系统 消化系统疾病 胃黏膜 共聚焦激光显微内镜 食管黏膜病变 

分 类 号：R57[医药卫生—消化系统]