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窄带谱成像放大内镜评估早期食管癌及癌前病变中的诊断效果研究 被引量:6

Study on the Diagnostic Effect of Narrow-band Spectrum Imaging Magnifying Endoscopy in Evaluating Early Esophageal Cancer and Precancerous Lesions
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摘要 目的探究窄带谱成像放大内镜评估早期食管癌及癌前病变中的诊断效果。方法回顾性分析早期食管癌及癌前病变病例的各项临床资料(收治时间在2017年1月至2021年1月),一共选取112例,根据不同诊断方式分为两组,一组实施窄带谱成像放大内镜诊断(观察组52例)、一组实施普通内镜诊断(对照组60例),在诊断结束后,比较两组病变检出情况、清晰度、食道IPCL分型检出结果,并分析窄带谱成像放大内镜预判病理分型与活检病理的一致性。结果观察组病变检出率高于对照组,经统计分析,差异有统计学意义(P<0.05)。观察组食道IPCL分型检出情况与对照组相比,差异显著(P<0.05)。观察组在病灶清晰度评分中,1分所占比63.46%、2分所占比19.23%、3分所占比13.46%、4分所占比3.85%,与对照组相比差异显著(P<0.05)。NBI-ME预判病理分型和活检病理结果,P<0.05,一致性较好。结论在早期食管癌及癌前病变的诊断中,窄带谱成像放大内镜应用效果较好,能够弥补普通内镜的不足,利于早期检出疾病,为后期治疗提供重要参考依据。 Objective To explore the diagnostic effect of narrow-band spectrum imaging magnifying endoscopy in evaluating early esophageal cancer and precancerous lesions.Methods Retrospective analysis of various clinical data of early esophageal cancer and precancerous lesions(admission period from January 2017 to January 2021),a total of 112 cases were selected and divided into two groups according to different diagnosis methods,one group was implemented Narrowband spectrum imaging magnifying endoscopy diagnosis(52 cases in the observation group),one group performed ordinary endoscopic diagnosis(60 cases in the control group),after the diagnosis,the two groups were compared for the detection of lesions,clarity,and esophageal IPCL detection Results,and analyzed the consistency of the narrow-band spectrum imaging magnifying endoscopy to predict the pathological classification and biopsy pathology.Results The detection rate of lesions in the observation group was higher than that in the control group.After statistical analysis,the difference was statistically significant(P<0.05).Compared with the control group,the detection of esophageal IPCL classification in the observation group was significantly different(P<0.05).In the observation group's focus definition score,1 point accounted for 63.46%,2 points accounted for 19.23%,3 points accounted for 13.46%,and 4 points accounted for 3.85%,which were significantly different from the control group(P<0.05).NBI-ME predicts pathological classification and biopsy pathological results,P<0.05,the consistency is good.Conclusion In the diagnosis of early esophageal cancer and precancerous lesions,narrow-band spectrum imaging magnifying endoscopy has a good application effect,which can make up for the shortcomings of ordinary endoscopy,facilitate early detection of diseases,and provide important reference for later treatment.
作者 王伟 郝长青 WANG Wei;HAO Chang-qing(Endoscopy Room,Linzhou Tumor Hospital,Linzhou 456550,Henan Province,China)
出处 《罕少疾病杂志》 2022年第8期42-44,共3页 Journal of Rare and Uncommon Diseases
关键词 早期食管癌 癌前病变 窄带谱成像 放大内镜 Early Esophageal Cancer Precancerous Lesions Narrowband Spectrum Imaging Magnifying Endoscopy
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