窄带成像技术观察鼻咽癌黏膜表面血管形态临床意义的探讨

发布时间：2018-04-01 08:37

  本文选题：窄带成像　切入点：鼻咽癌　出处：《中国内镜杂志》2016年04期

【摘要】：目的探讨窄带成像技术(NBI)辅助观察鼻咽癌黏膜表面血管形态的临床意义。方法选取2015年1月-2015年6月至该院内窥镜室同时行白光及NBI模式下电子鼻咽镜检查患者共89例,分析其中病理确诊鼻咽癌患者NBI模式下鼻咽部黏膜表面血管形态特点,并参照患者肿瘤TNM分期,探讨鼻咽癌黏膜表面血管形态改变的临床意义。结果 89例患者中病理确诊鼻咽癌54例,NBI模式下将其黏膜表面血管形态依异型程度由轻到重可分为3型,其中Ⅰ型血管7例,Ⅱ型血管22例,Ⅲ型血管25例。在诊断鼻咽癌的54例患者中,Ⅰ、Ⅱ、Ⅲ型在T_(1~2)组中分别为6、10、7例,在T_(3~4)组中为1、12、18例,其中Ⅰ型血管多见于T_(1~2)组,而Ⅲ型血管多见于T_(3~4)组(P0.05),Ⅱ型血管在T_(1~2)组和T_(3~4)组之间差异无统计学意义(P0.05)。不同血管类型在不同肿瘤N分期、M分期及临床分期中的分布差异无统计学意义(P0.05)。结论 NBI下鼻咽癌黏膜表面血管形态改变的程度可能与肿瘤局部侵袭程度有关。
[Abstract]:Objective to investigate the clinical significance of narrow band imaging (NBI) assisted observation of nasopharyngeal carcinoma (NPC) mucosal surface vascular morphology. Methods 89 patients with nasopharyngeal carcinoma were examined by both white light and electronic nasopharyngoscope under NBI mode from January 2015 to June 2015. The morphological features of nasopharyngeal mucosal surface vessels in patients with nasopharyngeal carcinoma (NPC) diagnosed by pathology under NBI mode were analyzed, and the TNM stages of nasopharyngeal mucosa were compared. Results in 89 patients with nasopharyngeal carcinoma, 54 patients with nasopharyngeal carcinoma (NPC) were classified into 3 types according to the degree of dysplasia from light to severe, including 7 patients with type 鈪，

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