窄带成像放大肠镜下NICE分型对 结直肠小息肉的诊断价值

Efficacy of NICE classification under magnifying narrow-band imaging in the diagnosis of small colorectal polyps

摘要:

目的 探讨窄带成像（NBI）放大肠镜下NICE分型对结直肠小息肉的诊断价值。方法 对肠镜检查发现的264个结直肠小息肉进行窄带成像放大肠镜检查，观察病灶表面的颜色、血管以及腺管开口，根据NICE分型预测息肉的性质，与内镜下切除或外科手术后的病理结果进行对比分析。结果 窄带成像放大肠镜下NICE分型判断结直肠肿瘤性小息肉的敏感性、特异性、准确性、阳性预测值和阴性预测值分别为：93.6%（102/109）、96.1%（149/155）、95.1%（251/264）、94.4%（102/108）和95.5%（149/156）。结论 NBI放大肠镜下NICE分型可较好的区分结直肠肿瘤性小息肉和非肿瘤性小息肉，对于“切除丢弃”的治疗策略具有重要的指导价值。

Abstract:

【Objective】 To investigate the diagnostic efficacy of magnifying narrow-band imaging in distinguishing neoplastic from non-neoplastic small colorectal polyps, using NICE (NBI international colorectal endoscopy) classification system. 【Methods】 A total of 264 small colorectal polyps were enrolled in this study. Each lesion was observed by magnifying narrow-band imaging, and the histology was predicted according to NICE classification system. The results were compared with histologic findings. 【Results】 The diagnostic sensitivity, specificity, accuracy, PPV, and NPV of magnifying narrow-band imaging were 93.6% (102/109)、96.1% (149/155)、95.1% (251/264)、94.4% (102/108) and 95.5% (149/156), respectively. 【Conclusion】 NICE classification system with magnifying narrow-band imaging is effective in distinguishing neoplastic from non-neoplastic small colorectal polyps.