首页|NBI内镜对糜烂性与非糜烂性食管炎的诊断价值

NBI内镜对糜烂性与非糜烂性食管炎的诊断价值

扫码查看
目的探讨NBI内镜观察患者食管下段乳头内毛细血管环(IPCL)形态模式在诊断鉴别食管反流病的应用价值。方法选取2011年3月-2012年9月间诊断为糜烂性食管炎和非糜烂性食管炎患者各63例,另外选取20例体检健康人员进行比较研究。观察白光和NBI模式下食管下段黏膜,NBI模式放大后患者食管下段黏膜形态并进行分析。结果非糜烂性食管炎患者24h食管pH值检测阳性率明显低于糜烂性食管炎患者,与健康对照组比较IPCL形态多为Ⅱ型。结论食管ICPL形态特异性改变对诊断鉴别食管反流具有一定价值。
Morphology of IPCL in NERD and EE diagnostic value
Objective To observe the morphology changes of IPCL in GERD(NERD & EE) and to explore its main magnified endoscopic characteristics. Methods NERD 63, and EE 63, were enrolled in this study, 20 healthy volunteers served as control. All the subjects were assessed with 24h ambulatory esophageal pH mnittoring and magnifying endoscope. Biopsy specimens were taken from the region above the mucosa of the esophagogastric junction. Results The positive rate of esophageal pH monitoring was detected more, which was significantly different from theat of the control. Dilation and elongation of IPCL, which was signigicantly different from that of the controls. Conclusion The morphology changes of IPCL are useful for the diagnosis of non-erosive reflux disease.

Gastroesophageal refluxErosive esophagitisNonerosive reflux diseaseNBI

万瑜

展开 >

广东省广州市番禺中心医院消化内科

食管反流 糜烂性食管炎 非糜烂性食管炎 NBI

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(10)
  • 2
  • 2