摘要
目的探讨放大内镜窄带成像对慢性胃炎的诊断价值。方法 110例患者接受放大内镜窄带成像检查,根据Tahara分型将观察到的胃黏膜细微结构分为0型、Ⅰ型、Ⅱ型、Ⅲ型,并与相应部位活检的病理组织学进行比较分析。结果放大内镜窄带成像下胃黏膜超微结构与胃炎的组织病理五个指标均明显相关,且与炎症的严重程度相关。从0型到Ⅰ型、Ⅱ型、Ⅲ型,反映了慢性胃炎病变发展由轻到重的一个过程。其中萎缩、肠化主要见于Ⅲ型。结论放大内镜窄带成像下胃黏膜分型与病理组织学存在密切关系,通过放大内镜窄带成像准确识别胃黏膜超微结构将有助于对萎缩、肠化生等常见胃黏膜病变的诊断。
Objective chronic gastritis. Methods To evaluate the efficacy of magnifying narrow band imaging （NBI） endoscopy in diagnosis of 110 patients were enrolled in the study. Gastric mucosal patterns seen with magnifying NBI were divided into the following categories： type O, type Ⅰ , type Ⅱ , type m, which were compared to the histopatho- logical findings. Results Types O, Ⅰ , Ⅱ ,Ⅲwere respectively found from normal gastric mucosa to mucosa with severe atrophy and intestinal metaplasia, and the positive correlation was found between types 0, Ⅰ , Ⅱ , Ⅲ and the degree of chronic gastritis. Atrophy and intestinal metaplasia were mostly found in gastric mucosa of type m. Conclusion Mag- nifying NBI endoscopy is useful for predicting the histological severity of chronic gastritis and valuable for predicting gas- tric atrophy and intestinal metaplasia in the stomach.
出处
《胃肠病学和肝病学杂志》
CAS
2011年第12期1110-1111,共2页
Chinese Journal of Gastroenterology and Hepatology
关键词
放大内镜
窄带成像
慢性胃炎
Magnifying endoscopy
Narrow band imaging
Chronic gastritis
