不同胃镜模式对食管上段胃黏膜异位的诊断价值

目的探讨不同胃镜模式诊断食管上段胃黏膜异位(HGMUE)的临床价值。方法回顾性分析2010年1月-2014年12月129 516例门诊接受胃镜检查患者,分为普通白光、无痛白光、普通窄带成像(NBI)、无痛NBI,共4组,比较各组之间检出HGMUE的差异。结果共发现HGMUE 668例,总检出率0.52%;普通白光组0.21%(144/68 723)、无痛白光组0.51%(135/26 709)、普通NBI组0.93%(263/28 414)、无痛NBI组2.22%(126/5 670),各组之间差异有统计学意义。结论 HGMUE胃镜检查中容易漏诊,选择无痛胃镜NBI模式下观察可以提高检出率。

Different modes of gastroscope in diagnosis of heterotopic gastric mucosa in upper esophagus

Objective To explore the clinical value of different modes of gastroscope in diagnosis of heterotopic gastric mucosa in upper esophagus (HGMUE). Methods From January 2010 to December 2014, the clinical data of 129 516 cases of outpatient with gastroscopy were analyzed retrospectively. All the patients were divided into four groups: the white light endoscopy group; the white light painless gastroscopy group; Narrow-band imaging(NBI) group; painless NBI group, then compare the differences of detection results. Results 668 cases were found HGMUE, the total detection rate was 0.52%; Detection rate in each group was as followed: white light endoscopy group, 0.21% (144/68 723); white light Painless gastroscopy group, 0.51% (135/26 709); NBI group, 0.93% (263/28 414); painless NBI group, 2.22% (126/5 670). There was statistically difference among the four groups. Conclusion HGMUE could be easily misdiagnosed in gastroscopy, the choice of painless gastroscope NBI mode can improve the detection rate.