特殊内镜是.ppt

1.窄波成像 (NBI)主要特点 2.龙华大肠微血管形态(cp)分型,与组织病理之间关系 3.大肠超放大内镜细胞检查(EC)分类与组织病理诊断比较 4.何谓回声水平 5.荧光素钠与盐酸吖啶黄之间比较 思考题 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. * * * * * * * * * * * * * * * * * * * * * * 特殊内镜在消化道疾病中应用 上海中医药大学附属龙华医院内镜室 yuanyongwan@ 殷 泙 黄傲霜 史 琲 仲 敏 杨振华 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. ?大肠pit pattern分型 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. Ⅰ型 类圆腺开口，上皮组 织非肿瘤性病变（炎 症性、增生性息肉） Ⅱ型 星芒状腺开口，增生 性息肉 ⅢS型 小类圆形腺开口，见 凹陷型病变，管状腺 瘤 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. Ⅳ型 脑回状和绒毛状腺开 口，管状、绒毛状腺 瘤 ⅢL型 杆状或管状腺开口， 见隆起型病变，管状 腺瘤 Ⅴ型 不规则腺开口，m癌 72.1%，sm22.3%， 进展期癌99.3% Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 根据 VI 型细分类和统计学评估， 轮廓清楚VI型见癌浸润深度1,000毫 微米癌，轮廓不清楚VI型和VN型见癌 浸润深度大于1,000毫微米癌。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. ?食管超放大内镜细胞分类 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. ECA-I 正常扁平上皮，呈菱形、多角形细胞和中央为小的细胞核 ECA-II 与ECA-I相比较,细胞核轻度大小不等 ECA-III 细胞密度轻度增加，细胞核轻度肿大 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. ECA-IV 细胞密度高度增加，细胞核轻度肿大 ECA-V 细胞密度高度增加，细胞核高度肿大，核大小不等 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. ?大肠超放大内镜细胞分类 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. EC0a型 腺腔圆形，上皮 细胞核呈纺锤形 淡染，正常黏膜 EC0b型 腺腔锯齿状，上 皮细胞核呈小圆 形淡染，增生性 息肉 EC1a型 腺腔为裂隙状， 上皮细胞核呈纺 锤形淡染核伪多 层阴性，低级别 瘤变 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-201