色素内镜在食管疾病诊断中的价值  

The Usefulness of Dye Endoscopy in Diagnosis Esophageal Diseases

作　　者：王虹[1] 刘宾[1] 龚宝丽[1] 谢新纪[1] 

机构地区：[1]首都医科大学附属同仁医院,北京100730

出　　处：《中国医学科学院学报》1997年第4期297-299,共3页Acta Academiae Medicinae Sinicae

摘　　要：为探讨色素内镜对食管疾病的诊断价值，对87例食管疾病患者在普通内镜检查之后进行了色素内镜检查。结果表明，普通内镜与病理诊断符合率为80％，色素内镜与病理诊断符合率为95％，色素内镜正确诊断率为100％。进一步证实色素内镜能使病变区明显化，从而可发现普通内镜下不易发现的病变、明确病变的性质、类型及范围，从而提高了正确诊断率及活俭成功率。同时对手术切除范围的确定有一定的指导意义。Objective To investigate the usefulness of Dye endoscopy in the diagnosis of the esophageal disorders. Methods 87 cases with esophageal diseases underwent dye endoscopy examination with Toluidin-staining and Iodine-staining or double-staining method. Results In the conventional group, the conformity rate of the endoscopy to biopsy results is 80%, but in the Dye one is 95 % and the accurate rate of diagnostic is 100%. Under the guiding of Dye endoscopy, the occurrence rate of Ca cell on the incisal edge is 0 %. Conclusion The methods enable diffentinal diagnose of benign and malignant lesion, conforming the type of esophagitis. And it is more help ful to conform the area of surgical resection and when conventional endoscopy cannot satisfactorily diagnosis. We think it is a useful and simple diagnostic method for esophageal diseases.

关 键 词：色素内镜 色素剂 食管疾病 诊断 

分 类 号：R571.04[医药卫生—消化系统]