现代消化及介入诊疗
現代消化及介入診療
현대소화급개입진료
MODERN DIGESTION & INTERVENTION
2015年
3期
185-188
,共4页
乙酸染色%智能分光染色技术%肠上皮化生%内镜诊断
乙痠染色%智能分光染色技術%腸上皮化生%內鏡診斷
을산염색%지능분광염색기술%장상피화생%내경진단
Acetic acid staining%Fuji intelligent chromo endoscopy%Intestinal metaplasia%Endoscopic diagnosis
目的：比较普通内镜、智能分光染色(FICE)内镜、FICE内镜结合乙酸染色在胃黏膜肠上皮化生检出中的诊断价值。方法从2012年12月至2014年12月，将我院普通内镜发现的可疑肠上皮化生病变患者分为3组各128例。分别采用普通内镜、FICE内镜、乙酸染色结合FICE内镜进行观察。比较不同方法诊断肠上皮化生的结果。结果 FICE内镜、FICE结合醋酸染色内镜诊断IM的敏感度、特异度优于普通内镜，差异有统计学意义(P<0.05)。 FICE内镜与FICE结合醋酸染色内镜组间比较提示两者敏感度、总符合率、阴性预测值差异有统计学意义(P<0.05)，但特异度、阳性预测值差异无统计学意义(P>0.05)。结论 FICE内镜、乙酸染色结合FICE内镜对肠上皮化生的诊断均优于普通内镜，乙酸联合FICE内镜较普通FICE内镜更能发现肠上皮化生病灶，减少漏诊，具有更高临床诊断价值。
目的：比較普通內鏡、智能分光染色(FICE)內鏡、FICE內鏡結閤乙痠染色在胃黏膜腸上皮化生檢齣中的診斷價值。方法從2012年12月至2014年12月，將我院普通內鏡髮現的可疑腸上皮化生病變患者分為3組各128例。分彆採用普通內鏡、FICE內鏡、乙痠染色結閤FICE內鏡進行觀察。比較不同方法診斷腸上皮化生的結果。結果 FICE內鏡、FICE結閤醋痠染色內鏡診斷IM的敏感度、特異度優于普通內鏡，差異有統計學意義(P<0.05)。 FICE內鏡與FICE結閤醋痠染色內鏡組間比較提示兩者敏感度、總符閤率、陰性預測值差異有統計學意義(P<0.05)，但特異度、暘性預測值差異無統計學意義(P>0.05)。結論 FICE內鏡、乙痠染色結閤FICE內鏡對腸上皮化生的診斷均優于普通內鏡，乙痠聯閤FICE內鏡較普通FICE內鏡更能髮現腸上皮化生病竈，減少漏診，具有更高臨床診斷價值。
목적：비교보통내경、지능분광염색(FICE)내경、FICE내경결합을산염색재위점막장상피화생검출중적진단개치。방법종2012년12월지2014년12월，장아원보통내경발현적가의장상피화생병변환자분위3조각128례。분별채용보통내경、FICE내경、을산염색결합FICE내경진행관찰。비교불동방법진단장상피화생적결과。결과 FICE내경、FICE결합작산염색내경진단IM적민감도、특이도우우보통내경，차이유통계학의의(P<0.05)。 FICE내경여FICE결합작산염색내경조간비교제시량자민감도、총부합솔、음성예측치차이유통계학의의(P<0.05)，단특이도、양성예측치차이무통계학의의(P>0.05)。결론 FICE내경、을산염색결합FICE내경대장상피화생적진단균우우보통내경，을산연합FICE내경교보통FICE내경경능발현장상피화생병조，감소루진，구유경고림상진단개치。
AIM To evaluate the diagnostic value of the intestinal metaplasia of stomach by ordinary en-doscopy, Fuji intelligent chromo endoscopy (FICE)endoscopy, and FICE staining technique combined with acetic acid. Methods From December 2012 to December 2014, the suspected intestinal metaplasia (IM) of stomach found by ordinary endoscopy was divided into 3 groups with 128 cases in each. The patients were checked by ordinary endoscopy, FICE endoscopy, and FICE staining endoscopy combined with acetic acid. The diagnostic power for intestinal metaplasia of the stomach by different methods was compared. Results FICE endoscopy, FICE staining endoscopy combined with acetic acid had higher sensitivity and accuracy in the diagnosis of IM than ordinary endoscopy, the difference was statistically significant (P<0.05). Compared with FICE endoscopy, FICE staining endoscopy combined with acetic acid had higher accuracy, sensitivity, negative predictive value, the difference was statistically significant (P<0.05), but the specificity, the positive predictive value of the difference was not statistically significant (P>0.05). Conclusion FICE endoscopy, FICE staining endoscopy combined with acetic acid was better than acetic acid staining endoscopy for the di-agnosis of intestinal metaplasia.
