内镜色素染色对上消化道疾病的诊断价值  

DIAGNOSTIC VALUES ON THE UPPER DIGESTIVE TRACT STAININGED BY THE ENDOSCOPY

作　　者：周雁[1] 朱戎[1] 龙毓灵[1] 丁云珍[1] 

机构地区：[1]云南省第一人民医院消化科,昆明650032

出　　处：《中国内镜杂志》2001年第1期14-14,16,共2页China Journal of Endoscopy

摘　　要：目的 :探讨内镜色素染色对上消化道疾病的诊断价值。方法 :对 72例有食管、胃、十二指肠疾病患者行胃镜下局部喷洒染剂后 ,观察着色情况并取材。结果 :18例食管疾患复方碘染色不染区取材 ,病理示食管癌 9例、Barrett食管 3例、慢性炎症 6例。美蓝染色胃疾患 36例中 2 9例 (80 .5 5 % )着色区取材 ,胃癌 5例、肠化及不典型增生 2 1例 ,十二指肠球溃疡球部染色 18例中 11例 (6 1.11% )不染区检出胃上皮化生。结论 :内镜色素染色具有扩增内镜诊断的能力 ,方法简单安全 ,值得临床推广。Discuss the diagnosis values on the upper digestive tract staininged by the endoscopy.Methods:After spraying straining on the 72 cases below parts using stomach endoscopy,who are suffering from esophagus,stomach disease,and duodenal,observe the staining struction and take some samples.Results:Take samples from Lugol's iodine unstaininged but areas on the 18 esophagus disease,the pathobology shows that 9 suffering f from esophagus carcinomas,3 Barrett's esophagus,6 chroinc esophgitis.Taking the staining areas as samples from 29 diseases (it is 80.55% among 36 disease suffering from methylene blue staining stomach),it appears that 5 are suffering from stomach cancer,21 are intestinal metaplosia and gastric dysplasia.Among 18 staining on bulbs of duodenal ulcer,11 unstaininged are checked gastric metaplasia (61.11%).Conclusions:The endoscopy staining possesses the ability of enlarging the endoscopy diagnosis.The method is simple and safe,it is worthy of clinical application and extending.

关 键 词：内镜 粘膜染色 上消化道疾病 诊断 

分 类 号：R573.04[医药卫生—消化系统]