摘要
本院自1983年1月～1987年底行纤维食管镜检查1732例,除良性病变外,检出食管癌862例,贲门癌369例;活检阳性率分别为88.6％和84％。本文认为内镜检查须进一步提高肉眼识别力,消灭视觉死角,对不同类型肿物选取不同位置及深度进行咬检以提高活检阳性率。活检病理阴性或可疑时不应轻易否定内镜诊断。本文强调内镜和X线检查互补的重要性,认为早期诊断最重要的手段是镜检;而管腔严重狭窄或阻塞者常需X线造影来弥补其不足。指出早期诊断必须“四环”紧密配合。即症状+X线+镜检+病理,才能极大地发挥内镜检查的优越性。
From January 1983 through 1987 there were 1732 patients who underwent fiberoptie esophagoseopy. Of them, 862 cases were histologically confirmed to have esophageal carcinoma and 369 cardiac carcinoma. The positivity rate of esophagoseopie biopsy in the former was 86.6%, and 84% in the latter. In order to increase the positivity rate, the authors suggest that the number and depth of tissue taken for biopsy should be varied according to the growth character of tumor. Although esophagoscopy is the best means of detecting early lesions barium exam can play a supplementary role on occasions such as marked narrowing or obstruction of esophagus. It is also pointed out that esophagoscopy can be brought into full play only when it is used in association with symptoms, roentgenography, esophagoscopy and pathology, the so called the 'Four Links' principle.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1991年第2期73-75,共3页
Chinese Journal of Clinical Oncology
关键词
食管镜
食管肿瘤
胃肿瘤
Fiberoptic esophagoscopy Clinical use Esophago-cardiac cancer
