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-  2015 

色素胃镜对食管早癌及异型增生的诊断价值 Clinical Values of Chromoendoscopy in Esophageal Lesions

Keywords: 色素胃镜,卢戈氏碘液,食管早癌,异型增生

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Abstract:

目的:探究色素胃镜在食管早癌及异型增生诊断中的应用价值。方法:对我院170例胃镜检查发现可疑食管黏膜病变者,用2.0%卢戈氏碘液染色后取活检,结合病理分析,探讨内镜下病变部位碘染色改变与活检病理结果的关系。结果:170例患者中有139例呈现碘不染色,活检病理诊断食管癌36例,异型增生39例;碘淡染及碘不染色者仅有6例异型增生,余均为慢性炎症。内镜下碘不染区异型增生及食管癌共75例,检出率高于碘淡染及碘正常染色区(χ2=16.283,P<0.05)。结论:色素胃镜能鉴别食管黏膜病变,指导活检可提高食管早癌及异型增生的检出率

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