联合应用放大与超声胃镜诊断胃癌及癌前病变  

Application of magnifying chromogastroscopy and endoscopic ultrasonography to patients of gastric cancer and gastric precancerous lesions

作　　者：徐雷鸣[1] 陈惠芳[1] 李定国[1] 姚晓虹[1] 祝明洁[1] 

机构地区：[1]上海交通大学医学院附属新华医院消化内科,上海200092

出　　处：《中国内镜杂志》2008年第7期673-675,678,共4页China Journal of Endoscopy

基　　金：上海市教委科研基金项目;No:04JG05068

摘　　要：目的联合应用放大胃镜和超声胃镜检查,提高癌前病变及早期胃癌的检出率。方法pit分型pitⅢ以上患者124例,随机分成两组,放大染色胃镜及超声内镜组62例,放大染色胃镜组62例。行常规黏膜活检,标本送组织病理学检查。结果放大染色胃镜及超声内镜组发现胃癌9例(早期胃癌6例),总检出率为12.5%。肠腺化生25例,异型增生24例,检出率分别为40.3%和38.7%。放大染色胃镜组发现胃癌4例(早期胃癌2例),总检出率为6.4%。肠腺化生34例,异型增生18例,检出率分别为54.8%和29.0%。结论联合应用放大染色胃镜及超声内镜检查可明显增高异型增生及早期胃癌检出率。[Objective] To combine magnifying chromogastroscopy with ultrasonography functions in order to improve the detection rate of early cancer and precancerous lesions. [Methods] 124 patients with pit Ⅲ were randomly divided into 2 groups. There were 62 patients in group by magnifying chromogastroscopy and EUS. The rest 62 patients were in group by magnifying chromogastroscopy. The specimens were examined by histology. [Results] In group by magnifying chromogastroscopy and EUS, 9 patients were diagnosed as gastr...

关 键 词：放大胃镜 超声胃镜 胃癌 癌前病变 

分 类 号：R735.2[医药卫生—肿瘤]