摘要
目的研究放大内镜结合窄带成像技术(ME-NBI)在老年消化道早癌及癌前病变中的诊断价值。方法选择2019年5月至2021年5月于我院治疗的92例疑为消化道早癌及癌前病变患者,均采用常规内镜及ME-NBI进行检查。以病理检查结果作为金标准,计算常规内镜、ME-NBI诊断消化道早癌及癌前病变敏感度、特异度。结果92例疑为消化道早癌及癌前病变患者经病理检查证实良性病变8例、癌前病变32例、消化道早癌21例、进展期癌31例。ME-NBI诊断消化道癌前病变敏感度(93.75%)、特异度(86.67%)高于常规内镜(65.63%、71.67%),ME-NBI诊断消化道早癌特异度(90.14%)高于常规内镜(69.01%),有统计学差异(P<0.05);ME-NBI与常规内镜诊断消化道早癌敏感度比较,无统计学差异(P>0.05)。结论ME-NBI诊断老年消化道早癌及癌前病变敏感度、特异度较高,有利于提高消化道早癌及癌前病变检出率,为临床诊断及治疗提供指导。
Objective To investigate the diagnostic value of magnifying endoscopy combined with narrow-band imaging(ME-NBI)in the elderly with early gastrointestinal cancer and precancerous lesions.Methods From May 2019 to May 2021,92 patients with suspected early gastrointestinal cancer and precancerous lesions treated in our hospital were selected.Conventional endoscopy and ME-NBI were used for examination.The sensitivity and specificity of routine endoscopy and ME-NBI in the diagnosis of early digestive tract cancer and precancerous lesions were calculated using pathological examination results as the gold standard.Results There were 8 cases of benign lesion,32 cases of precancerous lesion,21 cases of early carcinoma of digestive tract and 31 cases of advanced carcinoma.The sensitivity(93.75%)and specificity(86.67%)of ME-NBI in the diagnosis of digestive tract precancerous lesions were higher than those of conventional endoscopy(65.63%,71.67%),and the specificity(90.14%)of ME-NBI in the diagnosis of early digestive tract cancer was higher than that of conventional endoscopy(69.01%),with statistical differences(P<0.05).There was no significant difference between the sensitivity of ME-NBI and conventional endoscopy in the diagnosis of early gastrointestinal carcinoma(P>0.05).Conclusion THE sensitivity and specificity of ME-NBI in the diagnosis of early digestive tract cancer and precancerous lesions in the elderly are higher,which is beneficial to improve the detection rate of early digestive tract cancer and precancerous lesions,and provide guidance for clinical diagnosis and treatment.
作者
黄安业
黄子成
陈相波
HUANG Anye;HUAGN Zicheng;CHEN Xiangbo(The First Hospital of Quanzhou,Quanzhou 362000,China)
出处
《中国老年保健医学》
2021年第5期142-144,共3页
Chinese Journal of Geriatric Care
关键词
老年消化道早癌
癌前病变
放大内镜
窄带成像技术
诊断效能
Senile early gastrointestinal carcinoma
Precancerous lesions
Magnifying endoscope
Narrow-band imaging technique
Diagnostic performance
