内镜京都和金村-塔克莫托分类在预测高风险胃癌前病变方面是相似的
Doan Thi Nha Nguyen1,2, Duc Trong Quach3,4, Quang Dinh Le3,4
1Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, nhadoannguyen@gmail.com.
Digestion
|January 8, 2024
概括
在预测活跃的Helicobacter pylori感染方面,内镜京都分类 (EKC) 优于金村-塔克莫托分类 (KTC). 这两种分类在识别高风险的胃癌前病变方面都表现出类似的准确性.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 高风险的胃癌前病变 (HGPLs) 包括严重的胃缩,肠道代谢和失育症.
- 内镜京都分类 (EKC) 和金村-塔克莫托分类 (KTC) 与HGPL相关.
研究的目的:
- 为了预测活跃的Helicobacter pylori (H. pylori) 感染,请比较EKC和KTC.
- 为了预测HGPLs,请比较EKC和KTC.
主要方法:
- 对292名先前没有感染过H. pylori的消化不良患者进行了横截面研究.
- 用EKC和KTC得分的内镜检测结果.
- 通过快速尿酶试验和组织学诊断的H. pylori感染;通过映射活检确定HGPLs.
主要成果:
- 活跃的H. pylori感染率为61.3%;HGPL感染率为14.0%.
- 在预测活跃的H. pylori感染方面,EKC的表现优于KTC (AUC为0.771比0.658).
- EKC和KTC在预测HGPL方面表现相似 (AUC为0.792对比0.791).
结论:
- 在预测活跃的H. pylori感染方面,EKC优于KTC.
- 对于预测HGPLs,KTC是EKC的一个可行的替代方案.
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