摘要
目的对窄带成像放大内镜技术对食管黏膜微血管的形态分型和临床意义进行探讨。方法应用NBI-ME技术对在笔者医院诊治的104例食管病变的患者进行检查,观察其食管黏膜上皮乳头内的毛细血管袢(IPCL)的形态,并于各不同形态所在的部位取活组织进行病理检查。结果食管炎的IPCL主要为Ⅱ型,占88.00%,低级别黏膜内瘤变的IPCL主要为Ⅱ、Ⅲ型,其中Ⅱ型占43.75%,Ⅲ型占56.25%,高级别黏膜内瘤变的IPCL主要为Ⅲ型,占83.33%,而食管癌的IPCL主要表现为Ⅳ型,为100%。结论通过NBI-ME对食管黏膜上皮乳头内的毛细血管袢进行有效地形态观察可以推测患者的病理诊断,提高镜下早期食管病变的诊断准确率,以指导正确的治疗方法及镜下的随诊。
Objective To evaluate the clinical value of narrow - band imaging with magnifying endoscopy（NBI - ME） for capillary pattern classification of esophageal lesions. Methods Esophageal lesions of 104 patients were examined by NBI - ME. IPCL pattern diag- nosis was made for every lesion. Biopsy examination was made in different pat - tern. Results IPCL patterns of esophagitis were main type ]I （88.00%） ,IPCL patterns of low grade neoplastic lesion were main type II , Ill ,of which type ]I （43.75%） ,type Ill （56.25%）. IPCL patterns of high grade neoplastic lesion were main type Ill , Of which type I[ （ 83.33% ）. IPCL patterns of esophageal cancer were main type IV （ 100% ） . Conclusion The observation of IPCL pattern in esophageal lesions by NBI - ME can roughly predict his topatho- logical diagnosis,lmprove the accurate rate of esophageal cancer and precancerous lesions,direct a correct treatment and follow - up by en- doscopy.
出处
《医学研究杂志》
2013年第12期91-94,共4页
Journal of Medical Research
