色素内镜对早期胃癌及癌前病变的诊断价值
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【摘要】目的 探讨色素内镜对早期胃癌及癌前病变的诊断价值。方法 内镜下对64例胃黏膜可疑病变进行美兰染色，分别在染色前后进行内镜诊断比较，并与活检的病理结果分析对比。结果 64例色素内镜检查，美兰着色区肠上皮化生及异型增生检出率为36.84%(21/57)；早期胃癌检出率为12.28%(7/57)。染色前后内镜诊断与病理诊断比较，诊断符合率分别为74.07%和88.89%。结论 色素内镜可改善病灶的清晰度，增加活检的阳性率，对提高早期胃癌诊断率有很高的临床应用价值。
【关键词】色素内镜 早期胃癌 癌前病变 诊断
Diagnostic Significance of Chromoendoscopy to Early Gastric Cancer and Precancerous Lesion. Chi Qing,Zhong Jishan,Yu Shimin. the third hospital in jinan,Shandong 250101,China.
【Abstract】Objective To study the diagnostic significance of chromoendoscopy to early gastric cancer and precancerous lesion.Methods Sixty-four patients were examind with chromoendoscopy and pathologic.Results The positive rate of intestinal metaplasia and dysplasia in staining region was 36.84%. The positive rate of early gastric cancer was 12.28%. Conclusion Staining endoscopy examination can improve the diagnoses of early gastric cancer.
【Key words】Chromoendoscopy;Early gastric cancer;Precancerous lesion;Diagnoses
【中图分类号】R735.2
【文献标识码】A
【文章编号】1005-0019(2008)09-0002-02
色素内镜较一般内镜更能获得确切的形态学判断 ......
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