CAJ | 학술논문

目的：探讨内镜窄带成像技术对于早期胃癌和异型增生诊断的意义。方法：采用普通胃镜或染色检查与利用窄带成像技术对可疑病变区采用靛胭脂染色，再结合放大内镜对可疑病变进行观察，同时进行病理组织学检查，对2种诊断方法获得的信息进行对比分析。结果：内镜窄带成像与普通内镜或染色内镜诊断效果之间差异明显，且有统计学意义(P＜0.05)，在对局灶性、浅表性病变的观察方面窄带成像技术成像清晰而更具优势；对胃小凹形态和胃黏膜微血管观察的结果也表明内镜窄带成像技术占较大优势。结论：内镜窄带成像技术不仅操作简便、安全，而且能够清晰地发现早期胃癌或癌前病变，对于胃癌的早期发现、及时采取措施进行治疗意义重大。
목적：탐토내경착대성상기술대우조기위암화이형증생진단적의의。방법：채용보통위경혹염색검사여이용착대성상기술대가의병변구채용전연지염색，재결합방대내경대가의병변진행관찰，동시진행병리조직학검사，대2충진단방법획득적신식진행대비분석。결과：내경착대성상여보통내경혹염색내경진단효과지간차이명현，차유통계학의의(P＜0.05)，재대국조성、천표성병변적관찰방면착대성상기술성상청석이경구우세；대위소요형태화위점막미혈관관찰적결과야표명내경착대성상기술점교대우세。결론：내경착대성상기술불부조작간편、안전，이차능구청석지발현조기위암혹암전병변，대우위암적조기발현、급시채취조시진행치료의의중대。
Objective:To investigate the diagnosis significance of narrow band imaging for early gastric cancer and dysplasia. Methods:We used the common gastroscope or staining and narrow band imaging for suspected lesions using indigo carmine staining,and combined with magnifying endoscopy for suspected lesions to observe,and did histopathologic examination at the same time.We compared and analyzed the information get on the 2 diagnostic methods.Results:The difference between the narrowband endoscopic imaging and endoscopic or staining endoscopy diagnosis effect was obvious,and there was statistical significance(P<0.05).The narrow band imaging in the observation of focal,superficial lesions clearly and more advantages;for the observation results of gastric pits and gastric mucosal microvascular show that the narrow band imaging accounted for a larger advantage.Conclusion:Narrow band imaging not only has the advantages of simple operation,safety,but also can be clearly found early gastric cancer or precancerous lesions of gastric cancer for early detection and timely taking measures of treatment of great significance.