哈萨克族早期食管癌及癌前病变的内镜分析.PDF

J South Med Univ, 2017, 37(10): 1415-1417 doi 10.3969/j.issn. 1673-4254.2017.10.23 ·1415 · 临床研究 哈萨哈萨克族早期食管癌及癌前病变的内镜分析克族早期食管癌及癌前病变的内镜分析 1 2 1 徐 娟 ，高志刚 ，王 蕾 1 2 新疆生产建设兵团第七师医院消肾科，新疆 奎屯市 833200；塔城市人民医院胃肠镜室，新疆 塔城市 834700 摘要：目的探讨窄带成像放大内镜对哈萨克族早期食管癌及癌前病变患者的诊断价值。方法 选取2014 年1月~2016 年7 月在 我院行常规内镜检查诊断为食管黏膜病变的哈萨克族患者106例为实验组研究对象，随机选取30 例同时期在我院进行健康体 检者（常规内镜检查食道黏膜未见异常）作为对照组。分别应用窄带成像放大内镜观察两组患者的食管上皮乳头内毛细血管袢 （IPCL）的形态学改变，统计其分型结果。同时对实验组行病理学检查，统计其病理诊断结果。结果 实验组病理诊断结果：早期 食管癌10例，低级别瘤变16例，高级别瘤变11例，食管炎69 例；IPCL 分型结果：对照组均为Ⅰ型；实验组中早期食管癌的IPCL 分型主要为Ⅳ型，低级别瘤变主要为Ⅱ型与Ⅲ型，高级别瘤变主要为Ⅲ型，食管炎分型主要为Ⅱ型。结论 窄带成像放大内镜可 清晰的显示食管病变位置及病变范围，并能通过食管黏膜IPCL 分型来分析组织学的病理类型，对诊断哈萨克族早期食管癌及 癌前病变具有较高的临床价值。 关键词：内镜；哈萨克族；早期食管癌；癌前病变 Endoscopic analysis of early esophageal cancer and precancerous lesions in Kazakh patients 1 2 1 XU Juan , GAO Zhigang , WANG Lei 1Department of Gastroenterology and Nephrology, Seventh Division of Xinjiang Production and Construction Corps Hospital, Kuitun 833200, China; 2 Gastrointestinal Endoscopy Center, Tacheng Peoples Hospital, Tacheng 834700, China Abstract: Objective To explore the value of endoscopic narrow-band imaging in the diagnosis of early-stage esophageal cancer and precancerous lesions in Kazakh patients. Methods A total of 106 Kazakh patients with esophageal mucosa lesions diagnosed by routine endoscopy in our hospital from January 2014 to July 2016 were enrolled in this analysis with 30 randomly selected patients with normal endoscopic findings of the esophageal mucosa as the control group. The morphological changes of papillary capillary loop (IPCL) of the esophageal epithelium in the two groups were observed by narrow-band imaging magnifying endoscopy. Pathological examinations were pe