放大内镜对大肠病变微血管形态观察医学演示课件.ppt

. . Ｒ550 Ｇ500 Ｂ4０0 . Figure 3. A: pit pattern of type II, some light brown blood capillary are shown (R: 540 nm, G: 440 nm, B: 415 nm). 3B: pit pattern of type IIIL, branch brown blood capillary are shown (R: 560 nm, G: 460 nm, B: 415 3D: pit pattern of type V, heavy brown blood capillary net are shown, it is in disorder, some vessels were destroyed 3C: pit pattern of type IV, much heavy brown branch blood capillary net are shown, the vessel is large in diameter . 4A: pit pattern of type IIIL shown by FICE, branch light brown blood capillary is shown; it is staged as a tubular adenoma by pathology 4B: pit pattern is clear shown by magnifying chromoendoscopy, but blood capillaries are unclear. 5A: pit patterns are types IV and V shown by magnifying FICE, tumor vessels are in the shape of branch and curvature , it is as villous adenoma by pathology 5B: pit pattern is type IV shown by magnifying chromoendoscopy, tumor vessels are indistinct, the form of the vessel is unclear and it is identified as a villous adenoma by pathology. . 6A: pit pattern is type V shown by magnifying FICE, the terminal line between the tumor and surrounding tissue is clear, tumor vessels are large and torturous, blood capillaries are dense 6B: terminal line of the tumor is clear, but tumor vessels are unclear. 7A: the terminal line of the tumor and the surrounding tissue are obscure on images from ordinary colonoscopy. 7B: pit pattern is type V, some heavy brown blood capillary nets are shown, the terminal line of the tumor and surrounding tissue is clear . Liu YX等比较FICE放大内镜和染色放大内镜技术诊断结肠肿瘤和非肿瘤性病变的优劣.结果223例病人检查出451个病变,其中染色内镜检测出91.1% (411/451) ,而FICE检测出99.1% (447/451) ,二者差异显著.FICE能清晰显示病变微血管形态,但对于腺管开口,FICE与普通色素内镜显示无差异. Liu YX ,et al. Chinese Medical Journal, 2008,121 No. 11 : 977-982 . 哥斯达黎加CIMA医院Burgos等的研究纳入了124例行结肠镜检查的患者,研究者首先应用高分辨率放大结肠镜对患者进行检查,然后通过FICE系统对病变进行研究。? 结果发现,43例为增生性息肉,59例为管状腺瘤,3例为绒毛管状腺瘤,3例为绒毛状腺瘤,同时还发现3例重度异型增生及6例腺癌。 研究者对FICE成像结果进行Kudo分类,并与其组织病理学结果进行比较后发现,