窄带成像结合放大肠镜下JNET分型对结直肠肿瘤的诊断价值

张艳梅; 王慧莉; 朱磊; 杜卉莲

doi:10.3969/j.issn.1671-038X.2019.03.14

窄带成像结合放大肠镜下JNET分型对结直肠肿瘤的诊断价值

- 1. 辽河油田总医院消化内科, 辽宁盘锦 124010;
- 2. 辽河油田总医院检验科, 辽宁盘锦 124010;
- 3. 辽河油田总医院普外科, 辽宁盘锦 124010;
- 4. 辽河油田总医院血液净化科, 辽宁盘锦 124010

详细信息

作者简介:
张艳梅,女,硕士,副主任医师,研究方向:消化道胃癌

通讯作者: 张艳梅,E-mail:2561997156@qq.com

中图分类号: R735.3

收稿日期: 2018-10-30

Diagnostic value of JNET classification under magnifying narrow-band imaging for colorectal neoplasms

- 1. Department of Gastroenterology, Liaohe Oilfield General Hospital, Liaoning, Panjin 124010, China;
- 2. Department of Clinical Laboratory, Liaohe Oilfield General Hospital, Liaoning, Panjin 124010, China;
- 3. Department of General Surgery, Liaohe Oilfield General Hospital, Liaoning, Panjin 124010, China;
- 4. Department of Blood Purification, Liaohe Oilfield General Hospital, Liaoning, Panjin 124010, China

More Information

Corresponding author: ZHANG Yan-mei, E-mail: 2561997156@qq.com

Received Date: 30 October 2018

摘要

摘要: [目的]探讨窄带成像（NBI）结合放大肠镜下JNET分型对结直肠肿瘤的诊断价值。[方法]2017年5月~2018年5月接受结肠镜检查的120例患者共检出151个怀疑结直肠肿瘤的病灶，进行NBI放大检查，观察病灶的微血管结构及表面结构，依据JNET分型标准预测病变性质，并将内镜诊断结果与病理结果进行比较。[结果]NBI内镜结合放大肠镜下JNET分型总体分型诊断结直肠肿瘤的总体敏感度、总体特异度、总体阳性预测值、总体阴性预测值和总体准确率分别为96.2%（102/106）、91.1%（41/45）、96.2%（102/106）、91.1%（41/45）和94.7%（143/151），Kappa值为0.873。[结论]NBI结合放大肠镜下JNET分型对结直肠肿瘤性病变有很好的鉴别诊断价值，在临床上能够指导内镜下治疗。
- 结直肠肿瘤 /
- NBI结合放大肠镜 /
- JNET分型
Abstract: [Objective] To investigate the diagnostic value of JNET classification under magnifying narrow-band imaging (ME-NBI) for in colorectal neoplasms. [Methods] A total of 151 suspected colorectal tumors were detected in 120 patients who underwent colonoscopy from May 2017 to May 2018. ME-NBI was performed to observe the microvascular structure and surface structure of the lesions, the pathology of the lesions were predicted according to JNET classification criteria, and the endoscopic diagnosis was compared with the pathological results.[Results] The overall sensitivity, specificity, positive predictive value, negative predictive value and accuracy of colorectal tumors diagnosed by ME-NBI were 96.2% (102/106), 91.1% (41/45), 96.2% (102/106), 91.1% (41/45) and 94.7% (143/151), with a Kappa value of 0.873.[Conclusion] JNET classification under ME-NBI had a good differential diagnosis value for colorectal neoplastic lesions, and could guide endoscopic treatment in clinic.
- colorectal tumor /
- NBI combined with enlarged colonoscopy /
- JNET classification

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