首都食品与医药
首都食品與醫藥
수도식품여의약
Capital Medicine
2015年
4期
27-28,29
,共3页
窄带成像技术%Barrett食管%随诊%病理活检
窄帶成像技術%Barrett食管%隨診%病理活檢
착대성상기술%Barrett식관%수진%병리활검
Narroe-band imaging%Barrett esophagus%Follow-up%Pathological biopsy
目的：探讨窄带成像技术(NBI)在Barrett食管(BE)治疗后随诊中的效果。方法收集在我院诊断为BE患者112例，经治疗后3个月和6个月后在胃镜下观察NBI分级与病理活检阳性率进行比较。结果治疗3个月和6个月后，NBI对BE的敏感性、特异性明显高于常规内镜(P<0.05)；治疗3个月和6个月后，NBI图像分型I级与BE病理结果具有统计学差异(P<0.05)，Ⅱ-Ⅲ级与病理活检结果无统计学差异(P>0.05)。结论 NBI在BE治疗后随诊中，如为Ⅱ级-Ⅲ级可考虑为BE未愈，仍需继续治疗，无需再次活检；如为I级，可考虑加活检以明确治疗效果。
目的：探討窄帶成像技術(NBI)在Barrett食管(BE)治療後隨診中的效果。方法收集在我院診斷為BE患者112例，經治療後3箇月和6箇月後在胃鏡下觀察NBI分級與病理活檢暘性率進行比較。結果治療3箇月和6箇月後，NBI對BE的敏感性、特異性明顯高于常規內鏡(P<0.05)；治療3箇月和6箇月後，NBI圖像分型I級與BE病理結果具有統計學差異(P<0.05)，Ⅱ-Ⅲ級與病理活檢結果無統計學差異(P>0.05)。結論 NBI在BE治療後隨診中，如為Ⅱ級-Ⅲ級可攷慮為BE未愈，仍需繼續治療，無需再次活檢；如為I級，可攷慮加活檢以明確治療效果。
목적：탐토착대성상기술(NBI)재Barrett식관(BE)치료후수진중적효과。방법수집재아원진단위BE환자112례，경치료후3개월화6개월후재위경하관찰NBI분급여병리활검양성솔진행비교。결과치료3개월화6개월후，NBI대BE적민감성、특이성명현고우상규내경(P<0.05)；치료3개월화6개월후，NBI도상분형I급여BE병리결과구유통계학차이(P<0.05)，Ⅱ-Ⅲ급여병리활검결과무통계학차이(P>0.05)。결론 NBI재BE치료후수진중，여위Ⅱ급-Ⅲ급가고필위BE미유，잉수계속치료，무수재차활검；여위I급，가고필가활검이명학치료효과。
Objective To investigate Clinical application of narrow band imaging in post-treatment follow-up of Barrett's esophagus. Methods 112 cases of BE patients in our hospital December were collected,After treating for3 months and6 months, NBI grading and pathological biopsy positive rate were compared. Results After treating 3 months and 6 months, NBI sensitivity and specificity of BE was significantly higher than that of conventional endoscopy(P<0.05).After treating for 3 months and 6 months, I grade of NBI image classification and BE pathological results was with statistical difference(P<0.05), and II grade – III grade and biopsy results was with no statistical difference(P>0.05).Conclusion If the NBI typing results is grade II- III, BE can be considered as no cure,and there is needed to continue treatment,but no need to repeat biopsy. If the NBI type is grade I, biopsy should be performed to clarify treatment efficacy.
