首页|京都胃炎分类评分结合醋酸-靛胭脂染色放大内镜在早期胃肿瘤性病变诊断中的价值

京都胃炎分类评分结合醋酸-靛胭脂染色放大内镜在早期胃肿瘤性病变诊断中的价值

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目的 探讨京都胃炎分类评分结合醋酸-靛胭脂染色放大内镜在胃肿瘤性病变诊断中的价值.方法 回顾性分析2019年1月至2023年8月宁波市中医院收治的88例经京都胃炎分类评分筛选后的高风险慢性胃炎患者(≥4分)的临床资料.所有患者均进行普通高清白光胃镜检查,发现可疑病灶则行醋酸-靛胭脂染色放大检查,比较检查结果和病理结果,分析二者对肿瘤性病变的诊断价值.结果 经醋酸-靛胭脂染色的肿瘤性病变诊断准确率高于染色前,诊断灵敏度及特异度均高于染色前.结论 使用京都胃炎分类评分进行初步筛查,结合醋酸-靛胭脂染色放大内镜进一步精查可以更准确地诊断早期胃肿瘤性疾病,降低假阴性及假阳性情况,临床应用价值更高.
Value of Kyoto gastritis classification score combined with acetic acid-in-digo carmine staining magnifying endoscopy in the diagnosis of early gas-tric tumor lesions
Objective To explore the value of Kyoto gastritis classification score combined with acetic acid-indigo carmine staining magnifying en-doscopy in the diagnosis of gastric tumor lesions.Methods Clinical data of 88 high-risk chronic gastritis patients(≥4 points)screened by the Kyoto gastritis classification score in Ningbo Traditional Chinese Medicine Hospital from January 2019 to August 2023 was retrospectively analyzed.All patients were performed regular high-definition white light gastroscopy examination,and if suspicious lesions were found,acetic acid-indigo carmine staining magnifying endoscopy examination was performed further,and the examination results and pathological results were compared,and the diagnostic value of gastric tumor diseases was analyzed.Results The diagnostic accuracy of stained with acetic acid-indigo carmine in gastric tumor diseases was higher than that before staining.The diagnostic sensitivity and specificity were higher than those before staining.Conclusion Using the Kyoto gastritis classification score for preliminary screening,combined with acetic acid-indigo carmine staining and magnifying en-doscopy for further examination,can more accurately diagnose early gastric tumor diseases,reduce false negatives and false positives,and have higher clinical application value.

Kyoto gastritis classification scoreAcetic acid-indigo carmine staining magnifying endoscopyGastric cancerDiagnosis

朱红梅、王诗怡、张旭栋

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宁波市中医院消化内科,浙江宁波 315000

京都胃炎分类评分 醋酸-靛胭脂染色放大内镜 胃癌 诊断

浙江省宁波市科技计划

2021J301

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(14)
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