摘要
目的探究放大内镜联合窄带成像技术在胃癌术前诊断及病理分型中的应用效果。方法回顾性分析2018年11月至2020年1月于我院就诊的68例疑似胃癌患者的临床资料,采用常规放大模式、放大内镜联合窄带成像模式进行内镜检查。比较不同检查模式的图像清晰度;以病理检查结果为金标准,分析放大内镜联合窄带成像模式对胃癌及其病理分型的诊断效能。结果放大内镜联合窄带成像模式下的病变轮廓、胃小凹形态、微血管形态图像清晰度均显著优于常规放大模式,差异具有统计学意义(P<0.05)。放大内镜联合窄带成像模式对早期胃癌的诊断灵敏度、准确度明显高于常规放大模式,差异具有统计学意义(P<0.05)。放大内镜联合窄带成像模式对分化型胃癌、未分化型胃癌的诊断符合率高于常规放大模式,差异具有统计学意义(P<0.05)。结论放大内镜联合窄带成像技术对早期胃癌以及病理分型的诊断准确率较高,对于临床早期诊治胃癌具有重要的作用。
Objective To explore the application effect of magnifying endoscopy combined with narrow band imaging in preoperative diagnosis and pathological classification of gastric cancer.Methods The clinical data of 68 patients with suspected gastric cancer treated in our hospital from November 2018 to January 2020 were retrospectively analyzed.Conventional magnifying mode and magnifying endoscopy combined with narrow band imaging mode were used for endoscopic examination.The image clarity of different examination modes was compared;the diagnostic efficacy of magnifying endoscopy combined with narrow band imaging mode in gastric cancer and its pathological classification were analyzed based on pathological examination as the gold standard.Results The image clarity of lesion outline,gastric fovea shape and microvascular morphology in magnifying endoscopy combined with narrow band imaging mode were significantly better than those in conventional magnifying mode,and the differences were statistically signigicant(P<0.05).The sensitivity and accuracy of magnifying endoscopy combined with narrow band imaging mode in the diagnosis of early gastric cancer were significantly higher than those of conventional magnifying mode,and the differences were statistically signigicant(P<0.05).The diagnostic coincidence rate of magnifying endoscopy combined with narrow band imaging mode for differentiated gastric cancer and undifferentiated gastric cancer were higher than those of conventional magnifying mode,and the differences were statistically signigicant(P<0.05).Conclusion Magnifying endoscopy combined with narrow band imaging mode has a higher diagnostic accuracy for early gastric cancer and pathological classification,which plays an important role in clinical early diagnosis and treatment of gastric cancer.
作者
王丽
吕婷
WANG Li;LYU Ting(Endoscopy Room,No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China;Gastroenterology Department,No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)
出处
《临床医学研究与实践》
2021年第18期112-114,共3页
Clinical Research and Practice
关键词
胃癌
放大内镜联合窄带成像技术
病理分型
gastric cancer
magnifying endoscopy combined with narrow band imaging
pathological classification
