近焦窄带成像在增生性息肉与无梗锯齿状腺瘤/息肉鉴别诊断中的价值

中华消化内镜杂志 Pub Date : 2019-08-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.08.006

Zi-li Xiao, P. Xiang, Feng Li, Ren-xiang Huang, Da'nian Ji, Zhijun Bao

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引用次数: 0

摘要

目的评价近焦窄带成像（NF-NBI）对增生性息肉（HP）和无柄锯齿状腺瘤/息肉（SSA/P）的鉴别诊断价值。方法回顾性分析2017年10月至2018年9月复旦大学附属华东医院65例经病理证实的HP或SSA/P清晰的NF-NBI影像资料。三位资深医生观察了NF-NBI的图像，包括扩大隐窝开口（ECO）和厚支血管（TBV）。将结果与病理结果进行比较，以分析ECO和TBV对HP和SSA/P的鉴别诊断价值。结果65例中SSA/P 44例，HP 21例。ECO、TBV和ECO联合TBV对HP和SSA/P鉴别诊断的敏感性、特异性和准确性分别为80.3%（106/132）、85.7%（54/63）和82.1%（160/195）；38.6%（51/132）、82.5%（52/63）和52.8%（103/195）；分别为84.8%（112/132）、73.0%（46/63）和81.0%（158/195）。结论NF-NBI下ECO对SSA/P的诊断具有较高的敏感性。ECO结合TBV有助于HP与SSA/P的鉴别诊断。关键词：腺瘤；息肉；近焦窄带成像

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Value of near focus narrow-band imaging for differential diagnosis between hyperplastic polyp and sessile serrated adenoma/polyp

Objective To evaluate the value of near focus narrow-band imaging (NF-NBI) in differentiating hyperplastic polyp (HP) and sessile serrated adenomas/polyp (SSA/P). Methods Data of 65 cases of pathologically confirmed HP or SSA/P with clear NF-NBI images in Huadong Hospital Affiliated to Fudan University from October 2017 to September 2018 were retrospectively analyzed. Three senior doctors observed the images of NF-NBI, including expanded crypt opening (ECO) and thick & branched vessel (TBV). The results were compared with pathological results in order to analyze differential diagnostic value of ECO and TBV for HP and SSA/P. Results Among 65 lesions, 44 were SSA/P and 21 were HP. The sensitivity, specificity, and accuracy of ECO, TBV, and ECO combined with TBV for differential diagnosis between HP and SSA/P were 80.3%(106/132), 85.7%(54/63) and 82.1%(160/195); 38.6%(51/132), 82.5%(52/63), and 52.8%(103/195); and 84.8%(112/132), 73.0%(46/63), and 81.0%(158/195), respectively. Conclusion ECO under NF-NBI has a high sensitivity for diagnosis of SSA/P. ECO combined with TBV is helpful for differential diagnosis between HP and SSA/P. Key words: Adenoma; Polyp; Near focus narrow-band imaging

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.