内镜NBI技术在早期胃癌中诊断价值.docVIP

内镜NBI技术在早期胃癌中诊断价值 　　[摘要]目的 研究内镜窄带成像（NBI）技术在早期胃癌中的诊断价值。方法 选取2013年1月～2015年8月我院消化内科收治的80例早期胃癌患者，分别采用普通白光内镜检查、NBI放大内镜检查，以病理结果为金标准，比较两种检查方法的诊断结果。结果 NBI检查方法的敏感度、特异度以及病理组织学均明显高于白光内镜检查，差异有统计学意义（P0.05）。NBI检查方法在病变轮廓方面、胃小凹形态以及微血管形态方面的图像质量评分均明显高于白光内镜检查，差异有统计学意义（P0.05）。结论 在消化内科中，对患者进行NBI诊断，可准确鉴别早期胃癌及癌前病变的病灶，有利于尽快诊断和治疗，值得临床推广应用。 　　[关键词]内镜；NBI技术；早期胃癌 　　[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-4721（2017）05（b）-0062-03 　　Diagnostic value of endoscopic NBI technique in early gastric cancer 　　ZHAI Jun-hou 　　Department of Emergency，Central Hospital of Zibo Mining Group Co.，Ltd.，Shandong Province，Zibo 255120，China 　　[Abstract]Objective To study the diagnostic value of endoscopic narrow band imaging （NBI） in early gastric cancer.Methods From January 2013 to August 2015，80 cases of early gastric cancer patients in our hospital were selected，and ordinary white light endoscopy，NBI magnification endoscopy were given.The diagnostic results of two methods were compared according to the standard of pathological results.Results The sensitivity，specificity and histopathological findings of NBI examination method was significantly higher than that of ordinary white endoscopy，with significant difference （P0.05）.The image quality score of contours of the lesion，the morphology of the pueraria and microvascular morphology of the NBI examination method was significantly higher than that of the ordinary white endoscopy，with significant difference （P0.05）.Conclusion In the digestive medicine，NBI diagnosis of patients can accurately identify the early gastric cancer and precancerous lesions，which is conducive to the diagnosis and treatment as soon as possible，it is worthy of clinical promotion application. 　　[Key words]Endoscopy；NBI technique；Early gastric cancer 　　作为消化道恶性肿瘤中较为常见的一种疾病类型，胃癌的病死率在恶性肿瘤中高居全球范围内次席之位。据报道，诊断出该疾病患者的新增速度大约为8.5万人/年，而丧命于该病的人数更是达到了惊人的65万[1]。胃癌的发病率和死亡率在我国也处于前几位[2]，我省更是高发重灾区之一。早期将胃癌症状检查出来且立即实施针对性的治疗，可以在很大程度上降低其发病率和死亡率。胃癌早期诊断的重要性不言而喻，目前使用较多的是内镜检查，但是传统的白光内镜难以察觉早期病灶。窄带成像（narrow band i