Clinical appraisal of endoscopy with narrow-band imaging system in the evaluation and management of homogeneous oral leukoplakia.

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ORL; journal for oto-rhino-laryngology and its related specialties Pub Date : 2012-01-01 Epub Date: 2012-03-10 DOI:10.1159/000336722

Shih-Wei Yang, Yun-Shien Lee, Liang-Che Chang, Hui-Ping Chien, Tai-An Chen

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引用次数: 25

Abstract

Purpose: To evaluate the clinical usefulness of endoscopy with a narrow-band imaging (NBI) system for the evaluation and management of homogeneous oral leukoplakia.

Methods: The chart records, morphology of vascular architecture of NBI, and histopathology of patients with homogeneous leukoplakia were retrospectively reviewed and analyzed.

Results: A total of 160 patients, with an average age of 50.96 ± 10.25 years, were enrolled. In 35 cases of thin leukoplakia, only intraepithelium papillary capillary loop (IPCL) type I was shown by NBI, and only squamous hyperplasia was revealed pathologically. In 125 cases of thick leukoplakia, IPCL type I was found in 94, IPCL type II in 29, and IPCL type III in 2. The Kendall rank correlation between pathology and NBI images was significant (p < 0.0001).

Conclusions: The dichotomous classification of homogeneous leukoplakia by NBI is meaningful, and endoscopy with the NBI system is a promising tool for the evaluation and management of homogeneous oral leukoplakia.

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内镜窄带成像系统在均匀性口腔白斑评估与治疗中的临床评价。

目的:评价内镜窄带成像(NBI)系统在评价和治疗均质性口腔白斑中的临床应用价值。方法:回顾性分析非均质性白斑患者的病历记录、血管结构形态及组织病理学。结果:共纳入160例患者，平均年龄50.96±10.25岁。35例薄白斑中，NBI仅显示上皮内乳头状毛细血管袢(IPCL) I型，病理仅显示鳞状增生。125例厚白斑中，IPCL I型94例，IPCL II型29例，IPCL III型2例。病理与NBI影像的肯德尔等级相关性显著(p < 0.0001)。结论:NBI法对均质性口腔白斑进行二分法分类具有重要意义，内镜下的NBI系统是评价和治疗均质性口腔白斑的一种很有前景的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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ORL; journal for oto-rhino-laryngology and its related specialties

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