188体育

电子胃镜,电子胃镜价格,电子胃镜厂家

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早期胃癌的内镜诊断进展

发布日期:2019-4-2 14:05:09 admin

188体育ZAOQIWEIAI(early gastric cancer)SHIZHIJUXIANYUWEINIANMOCENGHUONIANMOXIACENGDEAI,BULUNYOUWULINBAJIEDEZHUANYI。ZAOQIWEIAIZHILIAOYUHOULIANGHAO,5NIANSHENGCUNLVDA84%

-99%,ERJINZHANQIWEIAISHUHOU5NIANSHENGCUNLVYUE61%ZUOYOU[]。YINCI,WEIAIDEZAOQIZHENDUANFEICHANGZHONGYAO。BENWENDUIWEIJINGJIYIXIEYUQIXIANGGUANDEXIANJINJISHULAITIGAOZAOQIWEIAIDEZHENDUANSHUIPINGZUOYIZONGSHU。

1DIANZIWEIJING

MUQIANQUANJIECHANGDIANZINEIJINGJIANCHAZAIWEIAI,TEBIESHIZAOQIWEIAIDEZHENDUANZHONGJUYOUGEZHONGYINGXIANGXUEJIANCHAWUFATIDAIDEYOUSHI,BUJINKEYIZHIJIEGUANCHAWEINIANMODEBINGBIAN,HAIKEYITONGGUOHUOJIANDUIBINGBIANBUWEIJINXINGZUZHIBINGLIXUEPINGJIA,YESHIWEIAISHUHOUSUIFANGDEZHUYAOSHOUDUAN。

2SESUWEIJING

SESUWEIJING(chromoendoscopy)YOUCHENGWEIRANSEWEIJING,SHIZHIBAYIDINGNONGDUDESESUOHUORANLIAOPENSAHUOTUBUYUWEINIANMO,SHIPUTONGWEIJINGXIABUYIFAXIANDEBINGZAOCHONGFENXIANSHICHULAI,HUOSHIPUTONGWEIJINGXIAGUANCHADAODEBINGZAOBIANDEGENGJIAQINGXIMINGQUEDEYIZHONGWEIJINGZHENDUANFANGFA,KEYITIGAOZAOQIWEIAIDEFAXIANNENGLI,YINDAOHUOJIANJIZHILIAO,TIGAOBINGBIANJIANCHULV。MUQIANCHANGYONGYUZAOQIWEIAIJIANCHADESESUZHUYAOYOUFUZHI(indigocarmine,IC)HEMEILAN(methylene blue,MB)LIANGZHONG。

3ZHAIDAICHENGXIANGNEIJING(narrow band imaging,NB1)JIEHEFANGDAWEIJING(magni-ing endoscopy,ME)ZAIZHENDUANZAOQIWEIAIZHONGDEYINGYONGNB1YOUCHENGDIANZIRANSENEIJING,SHITONGGUOGUANGXUELVQIDEGUANGPUFASHENGGAIBIAN,JIANGCHUANTONGKUANGUANGPUDEHONG、LV、LANSANSELVSEJINGHUANCHENGZHAIGUANGPUDUANBOZHANGDEGUANGYUAN,LIYONGGUANGDECHUANDAOHEXISHOUTEXING,SHIWEIJINGJIANCHADUINIANMOBIAOCENGDEXUEGUANYINGXIANGXIANSHIGENGJIAQINGCHU,LIYONGZHEIZHONGYUANLIZHIZUOCHUDEXINDEYIZHONGGUANGYUANCHENGWEIZHAIGUANGPUGUANGYUAN。

188体育FANGDAWEIJINGSHIYIZHONGFUYOUBIANJIAOJINGTOU,JUYOUGAOXIANGSUHEGAOFENBIANLVTEDIANDENEIJING,KEYIJIANGWEINIANMODETUXIANGFANGDAJISHIBEISHENZHISHANGBAIBEI,DUIYUNEIXIECHANGBIAOXIANWEIWEIXIAOHEQIANBIAODEZAOQIWEIAIDEZHENDUANJUYOUHENGAODELIYONGJIAZHI。

ZUIXINDEYANJIUBIAOMING,LIYONGZHAIGUANGPUGUANGYUANJIEHEFANGDAWEIJINGJIBENKEYIDADAO“GUANGXUEHUOJIAN”DEMUDE[]。Nakayoshi[]DENGTONGGUODUI165LIAOXIANXINGZAOQIWEIAIJINXINGNB1

+FANGDANEIJINGGUANCHA,JIANGWEINIANMOBIAOMIANWEIXUEGUANXINGTAIFENWEI3XING:XIWEIWANGZHUANG、LUOXUANZHUANGHEWEIFENLEIXING,JIEGUOFAXIANZAI109LIFENHUADEZAOQIXIANAIZHONG72LIXUEGUANXINGTAIWEIXIWEIWANGZHUANG,56LIWEIFENHUAZAOQIXIANAIZHONG48LIWEILUOXUANZHUANG。YOUCIKEJIAN,NBIKEYIGENGWEIQINGCHUDEGUANCHAZAOQIWEIAIBINGZAODEBIAOMIANJIEGOU,BINGKEGENJUWEIXUEGUANDEGUANCHALAIPANDUANQIFENHUACHENGDU,ZUODAOZAOQIFAXIAN,ZAOQIZHENDUAN。

4YINGGUANGWEIJING(fluorescence endoseopy)ZAIPUTONGDEWEIJINGNEIFUJIASHANGDANSEJIGUANGYUANHETEDINGDELVGUANGQIHUOJIANCEXIANGJIKEYI

GOUCHENGYIGEXINDEWEIJINGCHENGXIANGXITONG——WEIJINGYINGGUANGCHENGXIANGXITONG。MUQIANYIYOU3ZHONGNEIJING

188体育YINGGUANGCHENGXIANGXITONGYONGYULINCHUANG,DEGUODED-Light、JIANADADELIFE-G1(laserYIinduced fluorescence endoscopy gastrointestinal system)、RIBENDEAFl(Au-

tofluorescence Imaging Videoendoscopy)[5],BUTONGZUZHIDEYINGGUANGXINHAOBUTONG,Bhuncher[]DENGYIYINGGUANGWEIJINGJIANCELE16LIZAOQIWEIAI,FAXIANZAIHANJIZHICHENGFENXIANGDUIFENGFUDEZAOQIWEILIUZUZHIJIAOZHOUWEIZHENGCHANGNIANMOCHENGXIANJIAOQIANGDEYINGGUANG,HANJIZHICHENGFENXIANGDUISHAODEWEIAIZUZHIJIAOZHOUWEIZHENGCHANGNIANMOCHENGXIANRUODEYINGGUANG。YINGGUANGWEIJINGKEYIQINGXIDIXIANSHI

188体育ZAOQIWEIAIDEBINGBIANFANWEI,SHIBIJIAOYOUYINGYONGQIANJINGDEYIZHONGGUANGXUEZHENDUANJISHU。

188体育5CHAOSHENGWEIJING(endoscopic uhrasonography。EUS)

188体育CHAOSHENGWEIJINGSHIWEIJINGHECHAOSHENGDEYOUJIJIEHE。LIYONGTAKEYIQINGXIDIGUANCHADAOWEINIANMODENIANMOCENG、NIANMOJICENG、NIANMOXIACENG、GUYOUJICENG、JIANGMOCENG5CENGJIEGOU,BINGKEYIZHUNQUEDICEDINGCHUWEIBIGECENGDEHOUDU,YINCIKEYIYONGLAIPANDUANZAOQIWEIAIDEJINRUNSHENDUHEFANWEI。LINCHUANGSHANGCHANGYONGYUZHENDUANWEIAIJINRUNSHENDUDESHIHUANXINGSAOMIAODECHAOSHENGWEIJINGHEWEIJINGXIADEWEIXINGCHAOSHENGTANTOU。Yasuda[]YANJIURENWEICHAOSHENGWEIJINGNENGZHENDUANZHONGLIUJINRUNDESHENDU、ZUZHIZHUANYIJILINBAJIEZHUANYIQINGKUANG,JINGQUEXINGWEI80%,BINGQIENENGZHIDAOZAOQIWEIAINEIJINGXIAZHILIAO。

6JIGUANGGONGJUJIAOXIANWEINEIJING

JIGUANGGONGJUJIAOXIANWEINEIJINGSHIYIZHONGJIANGDIANZINEIKUIJINGHEGONGJUJIAOXIANWEIJINGXIANGJIEHEDENEIJING,GUYECHENGWEI“XIBAOXUENEIJING”HUO“XIANWEINEIJING”。YUCHUANTONGZUZHIJIANCHAXIANGBI,JIGUANGGONGJUJIAOXIANWEINEIJINGKEJINXINGQUANFENBIANLVDEJIGUANGDUANCENGSAOMIAO,NEIJINGFANGDABEISHUKEDA1000BEI,FENBIANLVWEI0.7WEIMI,DUIBIAOMIANHEBIAOMIANXIADEGUANCHAKEDA250WEIMIDESHENDU。YOUYUKESHENRUZUZHISHENCHUJINXINGXUNIGUANGXUEQIEPIANFENGE,YINCIKESHIBIEGUYOUCENGXUEGUANHEXIBAO、WANZHENGJIDIMO、JIEDIZUZHIHEYANXINGXIBAODEDIANXINGZUZHIXUETEZHENG,JINXINGXIBAOSHUIPINGDEZUZHIXUECHENGXIANG。

7QITAYONGYUZHENDUANZAOQIWEIAIDEJISHUSHEBEIHEFANGFA

JINHONGWAIGUANGPUGUANGYUANWEIJING(near-infrared videoendoscopy)SHILIYONGJINHONGWAIGUANGPUZAIWEINIANMONEIYOUJIAOQIANGDECHUANTOUXINGDETEDIAN,ZHIZUOCHUJINHONGWAIGUANGPUGUANGYUAN,KEYIYONGLAIBANGZHUPANDUANZAOQIWEIAIDEJINRUNSHENDU。

188体育XIANGYAOJINLIANGBIMIANZAOQIWEIAIDELOUZHENLV,WEIJINGYISHENGBIXUZUODAOYIXIASANDIAN:DI,FAXIANZAOQIWEIAIDEQIANGLIEYISHIHEZHIZHUTANQIUJINGSHEN;DIER,YOUFENGFUDEGUANYUZAOQIWEIAIDEWEIJINGXIABIAOXIANDEZHUANYEZHISHIHEJINGYAN;DISAN,SHULIANZHANGWODUIKEYIBINGBIANJINXINGJINYIBUQUERENDEJISHUFANGFABINGJUYOUXIANGYINGDEGONGJUZHICHI。MUQIANZAOQIWEIAIDEZHENDUANZHUYAOYIKAONEIJINGJIANCHA,QUJUEYUJIANCHAZHEDESHULIANCHENGDU、FENGFUDENEIJINGZHISHIHEDUINEIJINGXINJISHUDELEJIEHEZHANGWO。DADAJIANSHAORENWEIYINSUZAOCHENGDELOUZHENHEWUZHENCAINENGTIGAOZAOQIWEIAIDEZHENDUANLV,YANZHANGHUANZHEDESHENGMING。