中国医学创新2016,Vol.13Issue(19):107-110,4.DOI:10.3969/j.issn.1674-4985.2016.19.031
Barrett食管治疗后随诊中窄带成像技术的应用分析
Application of Barrett’s Esophagus after Treatment Follow-up in Narrowband Imaging Technology
摘要
Abstract
Objective:To explore the application and value of narrow band imaging (NBI) in the follow up of Barrett esophagus (BE).Method:The 100 patients with BE in our hospital were selected as the observation objects,they were given the argon plasma coagulation (APC),endoscopic and NBI examination at six month follow-up,the results and pathological examination results were compared and analyzed.Result:After treatment for 3 months,45 patients by pathological diagnosis was positive,the sensitivity rate of routine endoscopy and NBI were respectively 64.44% and 88.89%,specificity rate were respectively 70.91% and 80.0%,the differences were statistically significant(P<0.05).After treatment for 6 months,38 patients with pathologically positive, the sensitivity rate of routine endoscopy and NBI were respectively 68.42% and 92.11%,specificity rate were respectively 72.58% and 85.48%, the differences were statistically significant(P<0.05).At the same time,NBI examination of pathological classification Ⅰ grade compared with pathological results,the difference was statistically significant(P<0.05);grade Ⅱ and Ⅲ pathological biopsy results were similar, the difference was no statistically significant(P>0.05).Conclusion:For patients with clinical BE,compared with conventional endoscopy,NBI check diagnose rate is high.During follow-up by NBI diagnosis of grade Ⅱ or Ⅲ, healed and need to continue treatment.If diagnosed as grade Ⅰ,combined with pathological examination to confirm the therapeutic effect.关键词
BE/NBI/随诊Key words
Barrett esophagus/Narrow band imaging/Follow-up引用本文复制引用
徐林照..Barrett食管治疗后随诊中窄带成像技术的应用分析[J].中国医学创新,2016,13(19):107-110,4.基金项目
江门市卫生计生局科学技术研究项目 ()