摘要
目的了解共聚焦激光显微内镜(CLE)在慢性胃炎诊断中的操作方法、应用价值及前景。方法应用PENTEXIPK-1000型CLE对17例普通电子内镜下疑诊为慢性胃炎的患者进行激光共聚焦显微内镜检查,对发现病变部位进行共聚焦扫描,并在扫描部位取活检送病理检查,对采集的图像进行描述性分析,并结合活检病理进行对比分析。结果 CLE诊断慢性胃炎,与病理诊断符合率为94.1%。结论 CLE对诊断慢性胃炎具有无创实时的特点,并能发现普通胃镜下未能诊断的病变,导向性活检,尤其对肠上皮化生的敏感性较高。
Objective To study the diagnostic value of confocal laser endomicroscopy（CLE） in chronic gastritis.Methods The patients with chronic gastritis diagnosed by conventional endoscopy received CLE.The targeted biopsy of the examined areas was performed after examination.Results Among 17 cases,9 cases had simplex gastritis,6 cases had chronic atrophy gastritis with intestinal metaplasia,and 2 cases had intraepithelial neoplasia.The coincidence rate of detection of chronic gastritis was 94.1%.Conclusion CLE with its high diagnostic rate and clear images of histological characteristics of chronic gastritis may be a good method in the diagnosis of chronic gastritis.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第14期1395-1396,F0003,共3页
Chongqing medicine
关键词
胃炎
共聚焦内镜
肠上皮化生
上皮内瘤变
gastritis
confocal laser endomicroscopy
intestinal metaplasia
intraepithelial neoplasia
