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目的探讨应用放大肠镜诊断结直肠肿瘤样病变及指导治疗的价值。方法用放大肠镜对61例结直肠肿瘤患者的78个病灶进行了染色后的放大观察,按工藤分型进行了腺管开口类型诊断;同步进行镜下摘除或手术切除后,将放大肠镜诊断结果与组织病理诊断结果相比较,分析其一致性。结果(1)依据放大肠镜所见,诊断腺瘤等肿瘤性病变,总体符合率为96.2%,敏感性98.4%,特异性85.7%;(2)依据放大肠镜的诊断,对70个(89.7%)良性病变进行了同步微创治疗;(3)结合放大观察的肠镜检查,为决定其他8个病灶的治疗方案提供了重要依据。结论放大电子肠镜诊断结直肠肿瘤样病变及时、准确,利用它可以同步完成病变的微创治疗。
Objective To investigate the value of colonoscopy in the diagnosis of colorectal tumor-like lesions and to guide the treatment. Methods A total of 78 lesions of 61 patients with colorectal neoplasm were examined by magnifying colonoscopy. The size of the ductal cavity was diagnosed by Kudo classification. After enucleation or surgical resection, colonoscopy Diagnostic results and histopathological diagnosis results compared to analyze the consistency. Results (1) According to the findings of colonoscopy, the overall coincidence rate was 96.2%, the sensitivity was 98.4% and the specificity was 85.7%. (2) According to the diagnosis of colonoscopy, 89.7%) of benign lesions were treated with synchronous minimally invasive treatment; (3) combined with enlarging colonoscopy, to provide an important basis for the treatment of the other 8 lesions. Conclusion The diagnosis of colorectal tumor-like lesions by magnifying colonoscopy is timely and accurate. With this method, minimally invasive treatment of lesions can be completed synchronously.