Barrett食管放大内镜下分型与组织病理学关系的研究  

Relationship between mucosal patterns of Barrett esophagus under magnifcation endoscopy and pa-thology

作　　者：赵晶京[1] 房殿春[1] 徐承平[2] 章容[2] 范玉林[1] 李向红[1] 彭贵勇[1] 王振华[1] 

机构地区：[1]重庆市第二军医大学西南医院全军消化病专科中心,400038 [2]重庆市第二军医大学西南医院病理科,400038

出　　处：《中华消化内镜杂志》2005年第3期154-157,共4页Chinese Journal of Digestive Endoscopy

摘　　要：目的探讨Barrett食管的发病特点、常规及色素放大内镜下表现、病理分型及其相互关系。方法对2506例临床诊断胃食管反流病和106例Barrett食管患者行电子放大内镜观察和黏膜染色,对Barrett食管病例进行放大内镜下分型,并分析内镜表现与组织病理学之间的关系。结果106例Barrett食管主要表现为胸骨后烧灼感、胸骨后痛、反酸及吞咽梗阻感,其中27例(25.5%)患者无反流症状。Barrett黏膜放大内镜下分为点状、短棒状、绒毛状和不规则型;组织病理学上可分为胃底型、交界型和肠化型,以胃底型多见;美蓝染色阳性者多为短棒状、绒毛状和不规则型,其病理类型均为肠化上皮。结论放大内镜结合美蓝染色有助于Barrett食管中肠化上皮的检出,对Barrett食管的诊断及临床随访有重要意义。Objective To investigate the relationships among clinical features, endoscopic characteristics and pathologic epithelial types of Barrett esophagus. Methods Magnification chromoendoscopy ( MCE) was performed in 2506 patients with gastroesophageal reflux disease ( GERD) and 106 patients with Barrett esophagus in our hospital during Feb,2003 -Feb,2004 were analyzed. The clinical features, endoscopic characteristics, pathologic epithelial types and their relationships were analyzed. Results The symptoms of gas...

关 键 词：BARRETT食管 色素放大内镜 组织病理学 

分 类 号：R571[医药卫生—消化系统]