色素内镜对食管癌手术切除范围的价值  

The value of staining endoscopy in the estimation of the extent of esophoageal cancer resection

作　　者：龚宝丽[1] 陈瑞芬[2] 刘宾[1] 李建业[1] 宋爱丽[2] 刘国贞[2] 

机构地区：[1]首都医科大学附属北京同仁医院,邮政编码100730 [2]首都医科大学病理教研室,邮政编码100730

出　　处：《北京医学》2000年第4期217-219,共3页Beijing Medical Journal

摘　　要：目的　探讨能否通过色素内镜检查 ,降低残端癌的发生率。方法　 6 9例食管癌病人 ,其中 36例进行术前色素内镜检查 ,并对病变范围做墨汁标记 ,以示手术切除部位 ,术后切除的病灶做病理检查。另 33例病人按常规做食管癌根治术 ,术后做病理检查。结果　 36例色素内镜检查病人 ,残端癌发生率为 0。 33例未经色素内镜检查病人 ,有 4例发生残端癌 ,占 12 .1% (4 / 33)。结论　说明术前做色素内镜检查 ,可降低残端癌的发生率。Objective To explore the value of staining endoscopy in the estimation of the extent of esophageal cancer resection.Methods Thirty six patients suffered from esophageal cancer were examined with staining endoscopy and ink marks,which were used to mark the resection extent before the operation.The pathological examination was carried out and compared with that of other 33 cases of esophageal cancer resections who did not undergo staining endoscopy examination.Results Residual carcinoma lesions were not found on the pathological examination for the staining endoscopy group comparecl 12.1% (4/33) patients with residual carcinoma lesions in the non staining endoscopy group.Conclusions Staining endoscopy examination before operation can reduce the risk of residual carcinoma lesions in esophageal cancer resection patients.

关 键 词：色素内镜 食管癌 外科手术 手术切除范围 

分 类 号：R735.1[医药卫生—肿瘤]