内镜窄带成像技术对早期胃癌及癌前病变的鉴别诊断价值  

Differential diagnostic value of endoscopic narrow band imaging in early gastric cancer and precancerous lesion

作　　者：曾圆 李霞 曾芳 ZENG Yuan;LI Xia;ZENG Fang(Department of Gastroenterology,Pingxiang No.2 People’s Hospital,Pingxiang 337000,Jiangxi,China)

机构地区：[1]萍乡市第二人民医院消化内科,江西萍乡337000

出　　处：《癌症进展》2024年第12期1360-1362,1383,共4页Oncology Progress

基　　金：江西省卫生健康委科技计划项目(202212092)。

摘　　要：目的分析内镜窄带成像技术(NBI)对早期胃癌(EGC)及癌前病变的鉴别诊断价值。方法选取80例疑似EGC及癌前病变患者,所有患者均行常规内镜及内镜NBI检查。比较常规内镜与内镜NBI检查的图像清晰度。以病理诊断结果为金标准,将常规内镜、内镜NBI检查结果与病理诊断结果进行比较,分析二者对EGC及癌前病变的诊断价值。结果内镜NBI检查的各图像清晰度评分均明显高于常规内镜检查,差异均有统计学意义(P﹤0.01)。内镜NBI诊断EGC、癌前病变的准确度、特异度及灵敏度均高于常规内镜检查;常规内镜与病理诊断结果的一致性较差,内镜NBI与病理诊断结果的一致性较好。结论内镜NBI对EGC及癌前病变的鉴别诊断价值较高,可为疾病诊治提供可靠依据,以改善患者的预后。Objective To evaluate the differential diagnostic value of endoscopic narrow band imaging(NBI)in early gastric cancer(EGC)and precancerous lesions.Method A total of 80 patients with suspected EGC and precancerous le-sions were selected.All patients underwent routine endoscopy and endoscopic NBI examinations.The image clarity of routine endoscopy and endoscopic NBI was compared.The pathological diagnosis results were used as the gold standard,the results of routine endoscopy and endoscopic NBI were compared with pathological diagnosis results,and to analyze their differential diagnostic value in EGC and precancerous lesions.Result The image clarity scores of endoscopic NBI were significantly higher than those of routine endoscopy,and the differences were statistically significant(P<0.01).The accuracy,specificity and sensitivity of endoscopic NBI in the diagnosis of EGC and precancerous lesions were higher than those of routine endoscopy.The consistency between conventional endoscopy and pathological diagnosis was poor,while the consistency between endoscopic NBI and pathological diagnosis was good.Conclusion Endoscopic NBI has high differential diagnostic value in EGC and precancerous lesions,and can provide reliable basis for diagnosis and treat-ment of diseases,so as to improve the prognosis of patients.

关 键 词：早期胃癌 癌前病变 内镜窄带成像技术 诊断价值 

分 类 号：R735.2[医药卫生—肿瘤]