摘要
目的探讨应用放大肠镜诊断结直肠肿瘤样病变及指导治疗的价值。方法用放大肠镜对61例结直肠肿瘤患者的78个病灶进行了染色后的放大观察,按工藤分型进行了腺管开口类型诊断;同步进行镜下摘除或手术切除后,将放大肠镜诊断结果与组织病理诊断结果相比较,分析其一致性。结果(1)依据放大肠镜所见,诊断腺瘤等肿瘤性病变,总体符合率为96.2%,敏感性98.4%,特异性85.7%;(2)依据放大肠镜的诊断,对70个(89.7%)良性病变进行了同步微创治疗;(3)结合放大观察的肠镜检查,为决定其他8个病灶的治疗方案提供了重要依据。结论放大电子肠镜诊断结直肠肿瘤样病变及时、准确,利用它可以同步完成病变的微创治疗。
Objective To evaluate the clinical value of magnifying endoscopy in diagnosis and treatment of colorectal benign neoplastic lesions. Methods Seventy-eight colorectal lesions in 61 patients were examined with magnifying colonoscopy after indigo carmine dyeing, and pit pattern diagnosis was made for every lesion according to Kudo＇s classification to differentiate neoplastic lesions from non-neoplastic lesions. The lesions were resected by endoscopic polypectomy and mucoscctomy or surgical treatment. The diagnoses made by magnifying colonoscopy were compared with pathologic results. Results The diagnostic sensitivity of magnifying endoscopy for neoplastic lesions was 98.4% and specificity was 85.7%. The overall accuracy for adenoma and early colorectal cancer was 96. 2%. 89.7% of adenomatous lesions were treated by endoscopic resection. Conclusion The magnifying colonoscopy can provide instantaneous and accurate diagnosis of neoplastic lesions in colon and rectum, as well as minimally invasive treatment.
出处
《中华胃肠外科杂志》
CAS
2005年第5期416-418,共3页
Chinese Journal of Gastrointestinal Surgery
