醋酸染色联合窄带成像对胃黏膜肠上皮化生的诊断价值
R322.4+4; 目的:探讨内镜醋酸染色联合窄带成像模式对幽门螺杆菌阳性患者胃黏膜肠上皮化生(gastric intestinal metaplasia,GIM)病灶的诊断效果以及在筛查中的价值.方法:对93例幽门螺旋杆菌感染患者进行胃镜检查,分别在常规白光(esophagogastroduodenoscopy,EGD)、醋酸染色(acetic acid chromoendoscopy,ACC)、ACC联合窄带成像(narrow band imaging,NBI)3种模式下进行观察诊断并活检,比较3种模式下对GIM的诊断效果.结果:ACC+NBI模式的灵敏度为92.06％,远高于ACC模式的...
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| Published in | 中国临床医学 Vol. 27; no. 2; pp. 298 - 302 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
复旦大学附属金山医院消化内科 ,上海,201508%复旦大学附属中山医院内镜中心 ,上海,200032
01.04.2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1008-6358 |
| DOI | 10.12025/j.issn.1008-6358.2020.20192270 |
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| Abstract | R322.4+4; 目的:探讨内镜醋酸染色联合窄带成像模式对幽门螺杆菌阳性患者胃黏膜肠上皮化生(gastric intestinal metaplasia,GIM)病灶的诊断效果以及在筛查中的价值.方法:对93例幽门螺旋杆菌感染患者进行胃镜检查,分别在常规白光(esophagogastroduodenoscopy,EGD)、醋酸染色(acetic acid chromoendoscopy,ACC)、ACC联合窄带成像(narrow band imaging,NBI)3种模式下进行观察诊断并活检,比较3种模式下对GIM的诊断效果.结果:ACC+NBI模式的灵敏度为92.06％,远高于ACC模式的74.60％ 及EGD模式的30.16％,差别有统计学意义(P<0.05),3种模式的特异度差别无统计学意义(P>0.05).EGD、ACC、ACC+NBI模式的ROC曲线AUC分别为0.584、0.790、0.860.结论:ACC联合NBI模式能明显提高内镜下胃黏膜GIM的诊断,是胃黏膜GIM筛查的良好工具. |
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| AbstractList | R322.4+4; 目的:探讨内镜醋酸染色联合窄带成像模式对幽门螺杆菌阳性患者胃黏膜肠上皮化生(gastric intestinal metaplasia,GIM)病灶的诊断效果以及在筛查中的价值.方法:对93例幽门螺旋杆菌感染患者进行胃镜检查,分别在常规白光(esophagogastroduodenoscopy,EGD)、醋酸染色(acetic acid chromoendoscopy,ACC)、ACC联合窄带成像(narrow band imaging,NBI)3种模式下进行观察诊断并活检,比较3种模式下对GIM的诊断效果.结果:ACC+NBI模式的灵敏度为92.06％,远高于ACC模式的74.60％ 及EGD模式的30.16％,差别有统计学意义(P<0.05),3种模式的特异度差别无统计学意义(P>0.05).EGD、ACC、ACC+NBI模式的ROC曲线AUC分别为0.584、0.790、0.860.结论:ACC联合NBI模式能明显提高内镜下胃黏膜GIM的诊断,是胃黏膜GIM筛查的良好工具. |
| Author | 张轶群 蒋淼 周皓 李正阳 |
| AuthorAffiliation | 复旦大学附属金山医院消化内科 ,上海,201508%复旦大学附属中山医院内镜中心 ,上海,200032 |
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| Author_FL | LI Zheng-yang ZHOU Hao ZHANG Yi-qun JIANG Miao |
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| Keywords | 诊断 醋酸染色 肠上皮化生 窄带成像 |
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| Publisher | 复旦大学附属金山医院消化内科 ,上海,201508%复旦大学附属中山医院内镜中心 ,上海,200032 |
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| Title | 醋酸染色联合窄带成像对胃黏膜肠上皮化生的诊断价值 |
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