超声内镜与窄带放大内镜判断早期食管癌浸润深度的对比研究

Comparative study of endoscopic ultrasound and narrow band imaging endoscopy in predicting the depth of early esophageal cancer

目的探讨超声内镜与窄带成像技术(NBI)放大内镜对判断早期食管癌浸润深度的价值。方法收集2015年1月至2016年12月陆军军医大学大坪医院经内镜活检结果为早期食管癌或高级别上皮内瘤变患者52例,以术后病理为金标准,分别评价超声内镜及NBI放大内镜判断病变浸润深度与病理的准确率及一致性。结果两种方法预测食管癌前病变或早期食管癌浸润深度总体准确率比较,差异无统计学意义(P=0.374)。并且与病理结果对比均具有较好的一致性。结论 NBI放大内镜与超声内镜对食管癌前病变及早期食管癌浸润深度都有很高的诊断价值,两者在食管癌前病变及早期食管癌行黏膜下剥离术治疗的绝对适应证方面无明显差异。

Objective To investigate the value of endoscopic ultrasound and narrow band imaging magnification endoscopy in predicting the depth of early esophageal cancer. Methods Fifty-two patients with early esophageal cancer or high-grade intraepithelial were enrolled in the Daping Hospital from January 2015 to December 2016.All patients underwent endoscopic ultrasound and narrow band imaging magnification endoscopy.And The accuracy and consistency of the depth of invasion and pathology were evaluated by endoscopic ultrasound and narrow band imaging magnification endoscopy. Results There was no significant difference （ P = 0.374） between the two methods in predicting the overall accuracy of esophageal precancerous lesions or early esophageal cancer infiltration depth.And compared with the pathological results have a good consistency. Conclusion Narrow band imaging magnification endoscopy and endoscopic ultrasound have a high diagnostic value for esophageal precancerous lesions and early esophageal cancer infiltration depth,both of which have no significant difference in the absolute indications of esophageal precancerous lesions and early esophageal cancer ESD therapy.