Application of magnifying endoscopy with narrow-band imaging in the screening of early carcinoma and precancerous lesions of upper gastrointestinal tract

CHEN Ding-rong; JIANG Ai-rui; LIN Hui; NIE Xu-biao; LIAO Guo-bin; WANG Liang; BAI Jian-ying

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Application of magnifying endoscopy with narrow-band imaging in the screening of early carcinoma and precancerous lesions of upper gastrointestinal tract

更新时间：2022-11-09

- Application of magnifying endoscopy with narrow-band imaging in the screening of early carcinoma and precancerous lesions of upper gastrointestinal tract
- null Issue 9, Pages: 813(2022)
- 作者机构：
  
  陆军军医大学第二附属医院消化内科,重庆,400037
- 作者简介：
- 基金信息：
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- Published：2022
- 稿件说明：
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CHEN Ding-rong, JIANG Ai-rui, LIN Hui, et al. Application of magnifying endoscopy with narrow-band imaging in the screening of early carcinoma and precancerous lesions of upper gastrointestinal tract[J]. Null, 2022, (9): 813.
DOI：

CHEN Ding-rong, JIANG Ai-rui, LIN Hui, et al. Application of magnifying endoscopy with narrow-band imaging in the screening of early carcinoma and precancerous lesions of upper gastrointestinal tract[J]. Null, 2022, (9): 813. DOI：

摘要

目的评价窄带成像—放大内镜（M-NBI）在人群机会性筛查中对上消化道早期癌及癌前病变的诊断价值。方法选取2018年8～10月在我院消化内镜中心接受上消化道内镜检查的患者作为研究对象。将使用M-NBI检查的患者纳入M-NBI组，使用白光—非放大内镜（C-WLI）检查的患者纳入C-WLI组，比较2组患者的活检率、活检阳性率和检出率等。结果共纳入患者8 010例，其中M-NBI组7 161例，C-WLI组849例。与C-WLI组相比，M-NBI组具有更高的活检率（19.69% vs. 14.49%，P=0.000），对上消化道早期癌及癌前病变有更高的活检阳性率（12.34% vs. 5.69%，P=0.028）及检出率（2.43% vs. 0.82%，P=0.003）。结论 M-NBI在上消化道机会性筛查中具有较高的检出率及活检阳性率，表明其具有更好的筛查效率，适用于人群上消化道肿瘤的机会性筛查。

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