智能分光电子染色内镜联合小探头超声在食管浅表性病变诊治中的应用价值

发布时间：2018-06-01 08:36

本文选题：智能分光电子染色技术 + 小探头超声内镜　；参考：《中国内镜杂志》2017年02期

【摘要】：目的研究智能分光电子染色(FICE)内镜联合小探头超声内镜(EUS)在诊断食管浅表性病变中的临床价值。方法选取2013年1月-2016年6月该院消化内镜中心行普通白光胃镜检查可疑食管黏膜病变患者为研究对象,共292例,将患者按随机数字法分为观察组和对照组,各146例,对照组采用普通白光放大内镜进行检查,观察组在对照组检查基础上应用FICE放大内镜及小探头EUS,观察病变处食管上皮乳头内毛细血管袢(IPCL)的改变及病变深度,并推测病理类型,将两组内镜诊断结果与病理组织学诊断结果进行对比分析。结果 FICE放大内镜可清晰观察食管IPCL形态并分型,FICE内镜对食管炎性病变诊断的符合率为82.69%,轻中度不典型增生符合率为82.22%,重度不典型增生符合率为86.96%,食管癌符合率为100.00%。观察组与对照组准确率分别为91.78%和76.02%;灵敏度分别为85.71%和44.44%,前者明显优于后者。FICE内镜发现5处白光内镜漏诊的平坦型病变。结论 FICE模式与普通白光内镜相比,可增强病变的可识别性,能清楚显示病变轮廓和形态,能有效提高活检的准确性,操作方便。FICE联合小探头EUS在食管浅表性病变诊断治疗方面有一定的临床应用价值。
[Abstract]:Objective to study the clinical value of intelligent spectrophotoelectron staining (FICE) endoscopy combined with small probe ultrasonography (EUS) in the diagnosis of esophageal superficial lesions. Methods 292 patients with suspected esophageal mucosal lesions were selected from digestive endoscopy center of our hospital from January 2013 to June 2016. The patients were randomly divided into observation group and control group with 146 cases each. The normal white light magnifying endoscopy was used in the control group, and the FICE amplification endoscopy and small probe were used in the observation group to observe the changes and depth of the lesion in the esophageal epithelial papillary capillary loop, and to speculate the pathological type. The results of endoscopic diagnosis and histopathological diagnosis were compared between the two groups. Results FICE magnified endoscopy could clearly observe the morphology of esophageal IPCL and type. The coincidence rate of nice endoscopy in the diagnosis of esophageal inflammatory lesions was 82.69, the coincidence rate of mild to moderate atypical hyperplasia was 82.22, the coincidence rate of severe atypical hyperplasia was 86.96 and the coincidence rate of esophageal carcinoma was 100.00cm. The accuracy of observation group and control group were 91.78% and 76.02, the sensitivity were 85.71% and 44.44%, respectively. The former was superior to the latter. Conclusion compared with ordinary white light endoscopy, FICE mode can enhance the recognition of lesions, clearly display the contour and shape of lesions, and improve the accuracy of biopsy. Easy to operate. Nice combined with small probe EUS in the diagnosis and treatment of superficial esophageal lesions has a certain clinical value.
【作者单位】：南昌大学第二附属医院消化内科;
【分类号】：R571

【相似文献】