中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
7期
17-19
,共3页
胃炎,萎缩性%组织学%形态学%窄带成像
胃炎,萎縮性%組織學%形態學%窄帶成像
위염,위축성%조직학%형태학%착대성상
Gastritis,atrophic%Histology%Morphology%Narrow-band imaging
目的 探讨慢性萎缩性胃炎(CAG)在内镜窄带成像(NBI)下形态学诊断与组织学诊断的比较,以提高正确诊断率.方法 回顾性分析2011年9月至2012年12月经内镜NBI形态学诊断的100例CAG患者的临床资料,对CAG在内镜NBI下的形态学诊断与组织学诊断结果进行对比分析.结果 100例患者中,经病理组织学诊断94例,伴有轻度异型增生28例,中度异型增生8例,重度异型增生7例.内镜NBI模式下,胃小凹形态分为6种类型,异型增生主要表现为胃小凹Ⅳ型和Ⅴ1型,应警惕Ⅴ1型和Ⅵ型发生恶变的可能;7例重度异型增生,其中2例微血管形态尚规则,另外5例微血管形态不一,可见新生血管.结论 内镜NBI操作简单,放大后可清晰观察到胃小凹及微小血管形态,有助于提高CAG及异型增生的靶向活检准确率.
目的 探討慢性萎縮性胃炎(CAG)在內鏡窄帶成像(NBI)下形態學診斷與組織學診斷的比較,以提高正確診斷率.方法 迴顧性分析2011年9月至2012年12月經內鏡NBI形態學診斷的100例CAG患者的臨床資料,對CAG在內鏡NBI下的形態學診斷與組織學診斷結果進行對比分析.結果 100例患者中,經病理組織學診斷94例,伴有輕度異型增生28例,中度異型增生8例,重度異型增生7例.內鏡NBI模式下,胃小凹形態分為6種類型,異型增生主要錶現為胃小凹Ⅳ型和Ⅴ1型,應警惕Ⅴ1型和Ⅵ型髮生噁變的可能;7例重度異型增生,其中2例微血管形態尚規則,另外5例微血管形態不一,可見新生血管.結論 內鏡NBI操作簡單,放大後可清晰觀察到胃小凹及微小血管形態,有助于提高CAG及異型增生的靶嚮活檢準確率.
목적 탐토만성위축성위염(CAG)재내경착대성상(NBI)하형태학진단여조직학진단적비교,이제고정학진단솔.방법 회고성분석2011년9월지2012년12월경내경NBI형태학진단적100례CAG환자적림상자료,대CAG재내경NBI하적형태학진단여조직학진단결과진행대비분석.결과 100례환자중,경병리조직학진단94례,반유경도이형증생28례,중도이형증생8례,중도이형증생7례.내경NBI모식하,위소요형태분위6충류형,이형증생주요표현위위소요Ⅳ형화Ⅴ1형,응경척Ⅴ1형화Ⅵ형발생악변적가능;7례중도이형증생,기중2례미혈관형태상규칙,령외5례미혈관형태불일,가견신생혈관.결론 내경NBI조작간단,방대후가청석관찰도위소요급미소혈관형태,유조우제고CAG급이형증생적파향활검준학솔.
Objective To compare the morphology and histology about the chronic atrophic gastritis (CAG) narrow-band imaging (NBI),in order to improve the rate of final diagnosis.Methods The clinical data of 100 CAG patients who diagnosed by NBI from September 2011 to December 2012 were analyzed retrospectively.The morphological diagnosis by NBI and histodiagnosis by endoscopy were compared.Results In 100 patients,94 patients were diagnosed by histodiagnosis among whom 28 patients were with mild dysplasia,8 patients were with moderate dysplasia,7 patients were with severe dysplasia.In the NBI mode,gastric pits were divided into 6 kinds of types,dysplasia mainly expressed for Ⅳ and Ⅴ 1 type.In 7 severe dysplasia patients,2 patients of microvascular morphology were regular,the others were anomalism,and found neovascularization.Conclusions Endoscopic NBI technology has the advantage of simple operation,and can clearly observe the gastric pit and microvascular morphology after amplification.It can help to improve the accuracy rate of CAG and dysplasia targeted biopsy.
