摘要
目的探讨窄带成像技术(NBI)在膀胱白斑诊断中的临床应用价值。方法在白光和NBI模式下观察膀胱黏膜,记录病变的大小、范围,同时进行NBI分型。对可疑部位均取活检。以病理结果作为诊断金标准,将其他检查结果与之进行对照。结果在3542例患者中经病理证实为膀胱白斑者有171人,回顾171例患者检查资料,在白光模式下诊断率为80.12%(137/171),NBI模式下诊断率为94.73%(162/171),经统计学检验P<0.05。结论与白光模式相比,NBI模式可增强病变的识别性,提高内镜医师对病变的检出率。NBI内镜可提高对膀胱黏膜病变诊断的符合率。NBI在膀胱白斑病变诊断有一定的临床应用价值。
【Objective】To evaluate the narrow-banding imaging（NBI） in diagnosis of vesical leukoplakia.【Methods】The vesical leukoplakia was examined with white-light and NBI endoscopy respectively.Subsequently,abnormal appearance of mucosal surface was carefully inspected by NBI endoscopy.For each suspected lesion,the location,classification and technique used were recorded.Biopsies were taken from each abnormal part.The patho-logic diagnosis was considered as golden standard for all lesions,thus the grade of NBI and the grade of white-light in lesions were compared with pathologic features.【Results】One hundred and seventy-one patients were diagnosed through pathology.With white-light endoscopy,the incidence rate of vesical leakoplakia detected by senior endoscopist was 80.12%（137/171）.With NBI endoscopy,the incidence rate detected by senior endoscopist was 94.73%（162/171）.【Conclusion】Compared with white-light endoscopy,NBI endoscopy can identify vesical leakoplakia.In the diagnostic accuracy of the vesical leakoplakia,NBI was superior to the white-light endoscopy.NBI is a novel and valuable technique in the diagnosis of vesical leakoplakia.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第3期255-257,共3页
China Journal of Endoscopy
关键词
膀胱白斑
诊断
膀胱镜检查
窄带成像技术
病理
vesical leakoplakia
diagnosis endoscopy
urologic system
narrow-banding imaging
pathology
