CAJ | 학술논문

目的：探究色素放大内镜对胃肠上皮化生及早期癌变的诊断价值。方法选取慢性胃炎患者164例,分别由同一名资深技师先后对患者进行普通内镜及染色放大内镜检查,并与病理检查结果进行对比,比较两种检测方法对胃黏膜肠上皮化生及早期癌变诊断的优劣。结果色素放大内镜对胃黏膜肠上皮化生及早期癌变诊断与病理诊断结果有极高的一致性(Kappa 值=0.849、0.883,P <0.05)。色素放大内镜对肠上皮化生及胃早期癌变的敏感度(87.324%、87.805%),特异度(96.774%、98.374%)及准确度(92.683%、95.732%)明显大于普通内镜。结论色素放大内镜对胃黏膜肠上皮化生及胃早期癌变的诊断相对普通内镜检出率高,与病理结果一致性高。
목적：탐구색소방대내경대위장상피화생급조기암변적진단개치。방법선취만성위염환자164례,분별유동일명자심기사선후대환자진행보통내경급염색방대내경검사,병여병리검사결과진행대비,비교량충검측방법대위점막장상피화생급조기암변진단적우렬。결과색소방대내경대위점막장상피화생급조기암변진단여병리진단결과유겁고적일치성(Kappa 치=0.849、0.883,P <0.05)。색소방대내경대장상피화생급위조기암변적민감도(87.324%、87.805%),특이도(96.774%、98.374%)급준학도(92.683%、95.732%)명현대우보통내경。결론색소방대내경대위점막장상피화생급위조기암변적진단상대보통내경검출솔고,여병리결과일치성고。
Objective To explore the value of magnifying chromoendoscopy for the diagnosis of gastrointestinal metaplasia and early cancerization.Methods A total of 1 64 patients with chronic gastritis received normal endoscopy and magnifying chromoendoscopy.The results were compared with the pathological findings so as to evaluate the pros and cons of the two methods for the diagnosis of gastric intestinal metaplasia and early cancerization.Results For the gastric intestinal metaplasia and early cancer,magnifying chromoendoscopy could get highly consistent results with the pathological examination (Kappa = 0.849 and 0.883,P < 0.05 ). The diagnostic sensitivity and specificity of magnifying chromoendoscopy were 87.324% and 96.774% for intestinal metaplasia and 87.805% and 98.374% for early gastric cancer,and its diagnostic accuracy could reach 92.683% and 95.732% for intestinal metaplasia and early gastric cancer,respectively. All the parameters were significantly higher than those of the ordinary endoscope. Conclusion For gastric intestinal metaplasia and early gastric cancer,magnifying chromoendoscopy has a higher detection rate than the ordinary endoscopic examination,which can get highly consistent results with the pathological findings.