常规白光内镜与放大内镜结合窄带成像对肠型胃腺瘤良性病变诊断效果的比较

中华消化内镜杂志 Pub Date : 2019-08-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.08.004

La-Mei Teng, Qing-Wei Zhang, Xintian Zhang, Jin-Nan Chen, Jing Zhou

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引用次数: 0

摘要

目的比较白光内镜(WLE)与放大内镜联合窄带成像(ME-NBI)对肠型胃腺瘤良性病变的诊断准确性。方法收集2016年1月至2017年12月在上海仁济医院诊断为WLE的疑似早期胃肿瘤患者资料。WLE怀疑早期胃肿瘤病变的患者在2周内再次行WLE、ME-NBI及靶向活检检查。记录WLE、ME-NBI及活检结果。以病理诊断为金标准，评价WLE和ME-NBI对肠型胃腺瘤及其他非腺瘤病变的诊断效果。结果共纳入232例患者(232个病变)，即肠型胃腺瘤124例，其他非腺瘤病变如萎缩、溃疡、增生、低级别上皮内瘤变等108例。ME-NBI对肠型胃腺瘤的敏感性、阴性预测值和准确性均高于WLE (92.7% VS 71.8%、91.6% VS 73.7%、91.8% VS 80.6%， P均为0.05)。结论ME-NBI对肠型胃腺瘤其他非腺瘤病变的诊断效果明显高于WLE。关键词:腺瘤;胃肿瘤;胃肠道内窥镜检查;窄带成像技术

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Comparison of diagnostic efficacy of conventional white light endoscopy and magnifying endoscopy combined with narrow-band imaging for intestinal-type gastric adenoma in benign lesions

Objective To compare the diagnostic accuracy of white light endoscopy (WLE) and magnifying endoscopy combined with narrow-band imaging (ME-NBI) for intestinal-type gastric adenoma in benign lesions. Methods Data of patients with suspected early gastric neoplastic lesions diagnosed with WLE were collected from Shanghai Renji Hospital from January 2016 to December 2017. Patients with suspected early gastric neoplastic lesions by WLE were examined with WLE, ME-NBI and targeted biopsy again within 2 weeks. The results of WLE, ME-NBI and biopsy were recorded. Using pathological diagnosis as the golden standard, diagnostic efficacy of WLE and ME-NBI for intestinal-type gastric adenoma and other non-adenoma lesions was evaluated. Results A total of 232 patients (232 lesions) were included, i. e., 124 intestinal-type gastric adenoma and 108 other non-adenoma lesions such as atrophy, ulcers, hyperplasia, low-grade intraepithelial neoplasia, etc.. The sensitivity, negative predictive value and accuracy of ME-NBI in intestinal-type gastric adenoma were higher than those of WLE (92.7% VS 71.8%, 91.6% VS 73.7%, 91.8% VS 80.6%, all P 0.05). Conclusion Diagnostic efficacy of ME-NBI in intestinal-type gastric adenoma from other non-adenoma lesions is significantly higher than that of WLE. Key words: Adenoma; Stomach neoplasm; Endoscopy, gastrointestinal; 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.