感谢您的阅览,消化道早癌内镜下诊断（ppt详解,1,消化道早癌内镜下诊断（ppt详解,2,消化道早癌内镜下诊断（ppt详解,Man can only see what he knows,人只会看到他所认识的,3,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,4,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,5,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,6,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,7,消化道早癌内镜下诊断（ppt详解,食管早癌内镜下诊断,8,消化道早癌内镜下诊断（ppt详解,碘染色更容易找到病灶,9,消化道早癌内镜下诊断（ppt详解,正常食管粘膜IPCL图像,10,消化道早癌内镜下诊断（ppt详解,IPCL的形态：扩张、扭曲、直径变粗、变细都是早期癌的表现,11,消化道早癌内镜下诊断（ppt详解,血管密度不高，活检病理提示乳头状瘤 所以是非肿瘤,12,消化道早癌内镜下诊断（ppt详解,血管密度高，直径变粗，是早期癌,13,消化道早癌内镜下诊断（ppt详解,井上分类，血管不同形态，病变处于不同浸润深度,14,消化道早癌内镜下诊断（ppt详解,有马分类，A型非肿瘤，B型肿瘤,15,消化道早癌内镜下诊断（ppt详解,病变血管扩张、密度很高、有扭曲 井上分类V1型，ESD的结果是粘膜层 第一层的鳞状上皮癌,16,消化道早癌内镜下诊断（ppt详解,井上分类V2型，可见有深层的尾巴一样的血管,17,消化道早癌内镜下诊断（ppt详解,井上分类V3型，可见一条较粗血管,18,消化道早癌内镜下诊断（ppt详解,食管早癌内镜下诊断小结,食管里使用碘染色比较容易找到病变 NBI可以通过血管形态区分肿瘤性或非肿瘤性 对于肿瘤性还可以判别早癌浸润的深度,19,消化道早癌内镜下诊断（ppt详解,胃早癌内镜下诊断,20,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,21,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,22,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,23,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,24,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,25,消化道早癌内镜下诊断（ppt详解,Click to edit Master title style,Click to edit Master subtitle style,26,消化道早癌内镜下诊断（ppt详解,萎缩的胃粘膜可见明显的凹陷病变,27,消化道早癌内镜下诊断（ppt详解,可见明显的分界，里面有异常血管扩张、异常的腺 管扩张,28,消化道早癌内镜下诊断（ppt详解,29,消化道早癌内镜下诊断（ppt详解,没有明显分界，血管和腺管开口未见异常扩张,30,消化道早癌内镜下诊断（ppt详解,31,消化道早癌内镜下诊断（ppt详解,有明显分界，病变里面见异常血管扩张,32,消化道早癌内镜下诊断（ppt详解,胃早癌内镜下诊断小结,病变可见分界线 病变里面可见异常血管 病变里面可见异常腺管开口 不能判别早癌浸润的深度,33,消化道早癌内镜下诊断（ppt详解,大肠早癌内镜下诊断,34,消化道早癌内镜下诊断（ppt详解,35,消化道早癌内镜下诊断（ppt详解,36,消化道早癌内镜下诊断（ppt详解,37,消化道早癌内镜下诊断（ppt详解,38,消化道早癌内镜下诊断（ppt详解,39,消化道早癌内镜下诊断（ppt详解,40,消化道早癌内镜下诊断（ppt详解,41,消化道早癌内镜下诊断（ppt详解,42,消化道早癌内镜下诊断（ppt详解,43,消化道早癌内镜下诊断（ppt详解,44,消化道早癌内镜下诊断（ppt详解,感谢您的阅览，下载可编辑,45,消化道早癌内镜下诊断（ppt详解