| 窄带成像放大内镜在诊断老年消化道早癌及癌前病变中的应用价值 |
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| 引用本文： | Xi,Ting. 窄带成像放大内镜在诊断老年消化道早癌及癌前病变中的应用价值[J]. 中国临床保健杂志, 2017, 20(3): 268-270 |
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| 作者姓名： | Xi Ting |
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| 作者单位： | ;1.山东聊城市脑科医院消化内科 |
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| 摘 要： | 目的了解窄带成像放大内镜(NBI-ME)在诊断老年消化道早癌及癌前病变中的应用价值。方法选取824例行NBI-ME检查的老年患者作为观察组,选取815例行常规胃肠镜检查的老年患者作为对照组。对两组消化道进展期癌、早癌及癌前病变的检出率进行观察和比较。结果观察组患者中消化道早癌检出率[13例(1.6%)比4例(0.5%),χ~2=4.715,P=0.030]和癌前病变的检出率[22例(2.7%)比8例(1.0%),χ~2=6.500,P=0.011]显著高于对照组,NBI-ME检查诊断消化道早癌灵敏度[10例(76.9%)比3例(27.3%),χ~2=5.916,P=0.015]和癌前病变的灵敏度[19例(79.2%)比7例(31.8%),χ~2=10.471,P=0.001]显著高于常规胃肠镜,其Youden指数及与组织病理活检结果比较的一致性系数(Kappa值)均显著高于常规胃肠镜,但特异度的差异无统计学意义(χ~2=0.985、1.031,P>0.05)。结论 NBI-ME消化内镜检查在诊断消化道早癌和癌前病变方面具有较高的灵敏度和检出率。
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| 关 键 词： | 消化系统肿瘤 内窥镜检查,消化系统 癌症早期检测 老年人 |
| 收稿时间： | 2016-09-10 |
Application value of narrow band imaging combined with magnifying endoscopy in diagnosis of early carcinoma and precancerous lesions of gastrointestinal tract in elderly patients |
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| Xi and Ting. Application value of narrow band imaging combined with magnifying endoscopy in diagnosis of early carcinoma and precancerous lesions of gastrointestinal tract in elderly patients[J]. Chinese Journal of Clinical Healthcare, 2017, 20(3): 268-270 |
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| Authors: | Xi and Ting |
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| Affiliation: | Department of Digestion,LiaochengBrain Hospital,Liaocheng 252000,China and Department of Digestion,LiaochengBrain Hospital,Liaocheng 252000,China |
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