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内镜窄带成像技术在大肠息肉样病变诊断中的价值

苏燕波 唐建光 刘晓敏 杨光瑛 廖日斌 苏艺群 陆天翼 苏彦 路娟

中国内镜杂志2012,Vol.18Issue(3):225-228,4.
中国内镜杂志2012,Vol.18Issue(3):225-228,4.

内镜窄带成像技术在大肠息肉样病变诊断中的价值

Narrow band imaging in diagnosis of colorectal polypoid lesions

苏燕波 1唐建光 1刘晓敏 1杨光瑛 1廖日斌 1苏艺群 1陆天翼 1苏彦 1路娟1

作者信息

  • 1. 广西壮族自治区桂林市人民医院消化内科,广西桂林541002
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摘要

Abstract

[ Objective] To evaluate the efficacy of narrow band imaging (NBI) in diagnosis of colorectal polypoid lesions. [ Methods ] 46 patients with colorectal polypoid lesions detected by colonoscopy were enrolled in the study from June 2010 to March 2011. They were observed with conventional colonoscopy, NBI and chromoendoscopy. These lesions were classified by pit pattern (pit) and capillary pattern (CP), which was assessed by reference to histopathology. [ Results ] Fifty four colorectal polypoid lesions were found in 46 patients. For the observation of visualization of silhouette, pit and CP, NBI was better than ordinary endoscope (P <0.01). There was significant difference between NBI and chromoendoscopy in visualization of silhouette and CP (P <0.01). However, no significant difference was detected between 2 methods in pit (P >0.05). The diagnostic accuracy rate, sensitivity and specificity of pit in NBI were 90.7%, 90.9%, 90.0%, respectively. The diagnostic accuracy rate, sensitivity and specificity of CP were 92.6%, 95.3%, 81.8%, respectively. [Conclusions] NBI can show the changes of silhouette of colorectal polypoid lesions, pit and CP clearly and distinguish neoplasm from non-neoplasm coloreclal polypoid lesions, it was very ease to operate.

关键词

结肠肿瘤/内窥镜检查/窄带成像技术/诊断

Key words

colonic neoplasm/ endoscopy/ narrow band imaging/ diagnosis

分类

医药卫生

引用本文复制引用

苏燕波,唐建光,刘晓敏,杨光瑛,廖日斌,苏艺群,陆天翼,苏彦,路娟..内镜窄带成像技术在大肠息肉样病变诊断中的价值[J].中国内镜杂志,2012,18(3):225-228,4.

基金项目

广西壮族自治区卫生厅自筹经费科研课题(No.Z2010199) (No.Z2010199)

中国内镜杂志

OA北大核心CSCDCSTPCD

1007-1989

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