放大内镜窄带成像对慢性胃炎的诊断价值.pdfVIP

·lllo· 放大内镜窄带成像对慢性胃炎的诊断价值 冯 珍，熊文坚，金 飞，荆佳晨，嵇贝纳，程中华，杨湘怡，王韶英 上海市徐汇区中心医院消化内科，上海200031 【摘要】 将观察到的胃黏膜细微结构分为0型、I型、Ⅱ型、Ⅲ型，并与相应部化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O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。 【关键词】 放大内镜；窄带成像；慢性胃炎 中图分类号：R573．3 文献标识码：A 文章编号：l006—5709(2011)12一lllO一02收稿日期：20ll一10—17 The of narrow-band in ofchronic emcacy imagingendoscopydiagnosis gastritis magnifying FENG Beina，CHENG Shaoying Zhen，XIONGWenjian，JINFei，JINGJiachen，JI Zhonghua，YANGXiangyi，WANG of DistrictCentral of 20003 l，China DepartmentGastroentemlogy，XuhuiHospitalShanghai，Shanghai Toevaluatethe of narrowband in of objective BI)endoscopydiagnosis 【Abstract】 emcacymagnifying imaging(N chronic 11 were in Gastricmucosal seenwith NBl 0 enmlledthe gastritis．Methods study． pattems magnifying patients weredividedintothe were tothe fbllowingcategories：type0，typeI，typeⅡ，typeⅢ，whichcompared ResuIts foundf而mnomal mucosatomucosawithseVere logicalfindings． Types0，I，Ⅱ，Ⅲwererespectively gastric was between andthe of andintestinal the correlationfbund 0，I，Ⅱ，Ⅲ degree atrophy metaplasia，andpositive types chronic andintestinal were foundin mucosaof ConcIusion gastritis．Atmphy metaplasiamostly gastric typeⅢ． Mag— NBI isu