诊断学课件：消化内镜检查

2022-10-71消化内镜临床应用消化内镜临床应用 2022-10-722022-10-732022-10-742022-10-752022-10-762022-10-772022-10-782022-10-792022-10-7102022-10-7112022-10-7122022-10-7132022-10-7142022-10-7152022-10-7162022-10-717反流性食管炎反流性食管炎(Reflux Esophagitis，RE)2022-10-718内镜分型内镜分型2022-10-719食管静脉曲张食管静脉曲张概述2022-10-720级别级别 血管直径血管直径 形态形态 部位部位轻度轻度 6mm 结节状，部分阻塞结节状，部分阻塞 食管上段食管上段EV分度2022-10-721Barrett食管2022-10-722慢性胃炎慢性胃炎2022-10-723胃溃疡胃溃疡2022-10-7242022-10-7252022-10-7262022-10-727胃胃 癌癌1粘膜内癌：粘膜内癌：局限粘膜内，若肿瘤细胞仍在腺管内，局限粘膜内，若肿瘤细胞仍在腺管内，称为原位癌。称为原位癌。2早期胃癌：早期胃癌：侵及粘膜下层者，凡肿瘤局限在粘膜侵及粘膜下层者，凡肿瘤局限在粘膜 或粘膜下层者，不论有无淋巴转移。或粘膜下层者，不论有无淋巴转移。直径直径5mm者，称为微小胃癌。者，称为微小胃癌。进展期癌：进展期癌：3侵及固有肌层，又称侵及固有肌层，又称pm癌。癌。4侵及浆膜层。侵及浆膜层。5侵及全层，又称全层癌。侵及全层，又称全层癌。2022-10-7282022-10-729十二指肠溃疡十二指肠溃疡2022-10-730炎症性肠病炎症性肠病2022-10-731克罗恩病克罗恩病(Crohn(Crohn病病)2022-10-732结肠腺瘤结肠腺瘤2022-10-7332022-10-7342022-10-7352022-10-7362022-10-7372022-10-7382022-10-7392022-10-7402022-10-7412022-10-7422022-10-7432022-10-7442022-10-7452022-10-7462022-10-7472022-10-7482022-10-7492022-10-7502022-10-7512022-10-7522022-10-7532022-10-7542022-10-7552022-10-7562022-10-7572022-10-7582022-10-7592022-10-7602022-10-7612022-10-7622022-10-7632022-10-7642022-10-7652022-10-7662022-10-7672022-10-7682022-10-7692022-10-7702022-10-7712022-10-7722022-10-7732022-10-7742022-10-7752022-10-7762022-10-777