CAJ | 학술논문

目的探讨胃镜下采用透明帽对提高Barrett食管(BE)检出率的可行性.方法前瞻性收集168例胃镜检查疑诊为BE的患者,非选择性地分成两组:一组胃镜头端安装一个改良透明帽简称透明帽组,对疑似BE病变处进行活检,共60例;另一组为对照组108例,胃镜下直接对可疑病变进行活检,每例病变活检二块,检出柱状上皮即可诊断为BE.然后再比较两组的检出率.结果透明帽组BE检出率83.3%(50/60),对照组BE榆出率69.4%(75/108),两组差异有统计学意义(P＜0.05).结论胃镜下采用透明帽可使贲门部病变暴露清楚,易于定位活检,有助BE的检出,具有独特的优点和临床应用价值.
목적 탐토위경하채용투명모대제고Barrett식관(BE)검출솔적가행성.방법 전첨성수집168례위경검사의진위BE적환자,비선택성지분성량조:일조위경두단안장일개개량투명모간칭투명모조,대의사BE병변처진행활검,공60례;령일조위대조조108례,위경하직접대가의병변진행활검,매례병변활검이괴,검출주상상피즉가진단위BE.연후재비교량조적검출솔.결과 투명모조BE검출솔83.3%(50/60),대조조BE유출솔69.4%(75/108),량조차이유통계학의의(P＜0.05).결론 위경하채용투명모가사분문부병변폭로청초,역우정위활검,유조BE적검출,구유독특적우점화림상응용개치.
Objective To evaluate the feasibility of transparent cap-fitted endoscopy in improving diagnostic yield of Barrett's esophagus(BE).Methods A total of 168 patients with endoscopieally suspected BE were randomly divided into cap group(n=60)and control group(n=108).A transparent cap-fitted endoscopy Was applied in cap group to take biopsy,while a routine one was used in control group,and 2 biopsies from suspected lesions were collected in each patient.BE was diagnosed in the presence of columnar epithelium and the diagnostic rate was compared between 2 groups.Results The diagnostic rates of BE were 83.3%(50/60)and 69.4%(75/108)in cap and control group,respectively(P＜0.05).Conclusion The lesions at cardia Call be exposed clearly with capped endoscopy,which facilitates localized biopsy and BE diagnosis.