影像科学与光化学2025，Vol.43Issue(4)：97-103,7.DOI:10.7517/issn.1674-0475.2025.04.15
内镜窄带光成像JNET分型诊断大肠早期肿瘤浸润深度的价值及影响因素分析
The Value and Influencing Factors of Narrow Band Imaging JNET Classifica-tion in the Diagnosis of Invasion Depth of Early Colorectal Cancer
李玲 1张乙川 1刘珂良 1王飞 1陈樵1
作者信息
- 1. 攀枝花市中西医结合医院微创内镜中心,四川 617000
- 折叠
摘要
Abstract
Objective:To analyze the accuracy and influencing factors of endoscopic narrow-band light imaging Japan narrow-band imaging expert team(JNET)classification in the diagnosis of early tumor infiltration depth in the large intestine.Methods:This study included 114 patients with early colorectal tumors who visited our hospital from January 2017 to January 2023.Based on postoperative pathological diagnosis,they were divided into a misdiagnosis group(28 cases)and a correct diagnosis group(86 cases).All patients underwent endoscopic narrow-band light imaging before surgery and were evaluated for tumor infiltration depth according to JNET classification,and compared with pathological results.Results:The accuracy of JNET classification diagnosis was 88.60％,which was highly consistent with pathological results(Kappa=0.829,P＜0.001).Multivariate analysis showed that tumor size,morphology,physician experience,bowel preparation,and withdrawal time were independent risk factors.Conclusion:Endoscopic narrow-band light imaging JNET classification has a high accuracy in the diagnosis of early tumor infiltration depth in the large intestine,but its accuracy is affected by various factors and needs targeted improvement to improve diagnostic efficiency.关键词
窄带光成像/JNET分型/大肠早期肿瘤/浸润深度Key words
narrow band light imaging/JNET classification/early tumor of large intestine/infiltration depth分类
医药卫生引用本文复制引用
李玲,张乙川,刘珂良,王飞,陈樵..内镜窄带光成像JNET分型诊断大肠早期肿瘤浸润深度的价值及影响因素分析[J].影像科学与光化学,2025,43(4):97-103,7.
