窄帶成像技術(shù)觀察鼻咽癌黏膜表面血管形態(tài)臨床意義的探討
發(fā)布時(shí)間:2018-04-01 08:37
本文選題:窄帶成像 切入點(diǎn):鼻咽癌 出處:《中國(guó)內(nèi)鏡雜志》2016年04期
【摘要】:目的探討窄帶成像技術(shù)(NBI)輔助觀察鼻咽癌黏膜表面血管形態(tài)的臨床意義。方法選取2015年1月-2015年6月至該院內(nèi)窺鏡室同時(shí)行白光及NBI模式下電子鼻咽鏡檢查患者共89例,分析其中病理確診鼻咽癌患者NBI模式下鼻咽部黏膜表面血管形態(tài)特點(diǎn),并參照患者腫瘤TNM分期,探討鼻咽癌黏膜表面血管形態(tài)改變的臨床意義。結(jié)果 89例患者中病理確診鼻咽癌54例,NBI模式下將其黏膜表面血管形態(tài)依異型程度由輕到重可分為3型,其中Ⅰ型血管7例,Ⅱ型血管22例,Ⅲ型血管25例。在診斷鼻咽癌的54例患者中,Ⅰ、Ⅱ、Ⅲ型在T_(1~2)組中分別為6、10、7例,在T_(3~4)組中為1、12、18例,其中Ⅰ型血管多見(jiàn)于T_(1~2)組,而Ⅲ型血管多見(jiàn)于T_(3~4)組(P0.05),Ⅱ型血管在T_(1~2)組和T_(3~4)組之間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。不同血管類型在不同腫瘤N分期、M分期及臨床分期中的分布差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 NBI下鼻咽癌黏膜表面血管形態(tài)改變的程度可能與腫瘤局部侵襲程度有關(guān)。
[Abstract]:Objective to investigate the clinical significance of narrow band imaging (NBI) assisted observation of nasopharyngeal carcinoma (NPC) mucosal surface vascular morphology. Methods 89 patients with nasopharyngeal carcinoma were examined by both white light and electronic nasopharyngoscope under NBI mode from January 2015 to June 2015. The morphological features of nasopharyngeal mucosal surface vessels in patients with nasopharyngeal carcinoma (NPC) diagnosed by pathology under NBI mode were analyzed, and the TNM stages of nasopharyngeal mucosa were compared. Results in 89 patients with nasopharyngeal carcinoma, 54 patients with nasopharyngeal carcinoma (NPC) were classified into 3 types according to the degree of dysplasia from light to severe, including 7 patients with type 鈪,
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