摘要
目的评价内镜下碘染色诊断早期食管癌的意义。方法对86例可疑食管黏膜病变患者进行内镜下2%碘液黏膜染色,同时进行活组织病理检查。结果 86例患者中正常染色8例,浅染色51例,不染色19例,深染色8例。病理检查示正常染色及深染色患者中未发现癌变或癌前病变,浅染色51例中发现非典型增生5例、癌变1例,不染色19例中发现鳞癌7例、非典型增生12例。结论食管病变碘染色呈不染或浅染色时,多提示癌变或癌前病变,结合活检可以提高早期食管癌的诊断率。
Objective To evaluate the role of iodine staining under endoscopy in detecting early esophageal cancer. Methods 2% Lugol＇s iodine solution was adopted to stain esophageal mucosa in 86 cases of esophageal superficial lesions.And multiple biopsies were taken for pathological examination. Results Among 86 cases with Lugol＇s iodine staining,the results showed normal in 8 cases,light staining in 51 cases,deep staining in 8 cases and non-staining in 19 cases respectively. The pathological examination results revealed no cases of esophageal cancer or precancerous lesion in the normal and overstaining groups,5 cases of atypical hyperplasia and 1 ease of canceration among 51 cases in the light staining group,and 7 cases of esophageal squamous cell carcinoma and 12 cases of atypical hyperplasia among 15 cases in the non-staining group. Conclusion Non-iodine staining or light iodine staining in esophageal lesions mainly implicates caneeration or precancerous lesions. Combining with the biopsy can increase the diagnosis rate of early esophageal cancer.
出处
《现代医药卫生》
2013年第8期1176-1177,共2页
Journal of Modern Medicine & Health
关键词
碘化合物
诊断应用
染色与标记
内窥镜检查
食管肿瘤
诊断
早期诊断
Iodine compounds/diagnostic use
Staining and labeling
Endoscopy
Esophageal neoplasms/diagno Early diagnosis
