煌蓝色素内镜与胃癌  

BRILLIANT BLUE CHROMO-ENDOSCOPY AND GASTRIC CANCER

作　　者：苏鲁[1] 时敏[1] 刘彬[1] 郭光清 康交阳 

机构地区：[1]内蒙古消化病研究中心,包头医学院第二附属医院,海南省工人医院

出　　处：《内镜》1994年第4期202-203,共2页

摘　　要：本文报告３６例胃癌患者普通胃镜和煌蓝色素内镜检查以及活检的结果。其中７例为早期胃癌，早期胃癌的检出率为１９．４％。普通胃镜仅发现１例早期癌，煌蓝色素内镜发现７例，差异有显著意义（Ｐ＜０．０５）。此外煌蓝色素内镜提高胃癌活检阳性率达９７．４％。也明显高于普通胃镜的活检阳性率（Ｐ＜０．０１）。作者认为在胃癌前病变的随访中应提倡使用煌蓝色素内镜。Routine endoscopy and Brilliant Blue(B.B)chromo-endoscopy and directing biopsy respectively were performed on 36 patients with gastric cancer.Seven cases are early gastric cancer, the discovering rate of early cancer is 19.4%.One case early cancer was discovered only by the routine endoscopy,7 cases were discovered by the B.B chromo-endoscopy.The B. B chromo-endoscopy is more sensitivity method in discovering early cancer than the routine endoscopy(P<0.05).The B. B chromo-endoscopy can increase the positive rate of biopsy to 97.4%(35/36).It is significantly more sensitive than the positive rate of biopsy of routine endoscopy(P<O.01).We think that the B.B chromo-endoscopy should be used frequently in follow up of the gastric precancerous lesions in order to increase the positive rate of biopsy.

关 键 词：煌蓝色素 癌 活检 内窥镜 胃肿瘤 

分 类 号：R735.204[医药卫生—肿瘤]