放大染色内镜在早期消化道癌诊断中的应用价值研究  

Application of magnified staining Endoscopy in the diagnosis of early Digestive tract carcinoma

作　　者：杜林枫 廖鹏程 何彬博 DU Lin-feng;LIAO Peng-cheng;HE Bin-bo(The people′s Hospital of Dachuan District,Dazhou City,Dazhou 635000,China)

机构地区：[1]达州市达川区人民医院,四川达州635000

出　　处：《吉林医学》2020年第5期1064-1066,共3页Jilin Medical Journal

摘　　要：目的:探讨放大染色内镜用于早期消化道癌诊断的临床价值。方法:选取达州市达州区人民医院2016~2017年收治的消化道异常病变患者93例为研究对象,回顾分析患者的临床资料,对患者接受常规胃镜、放大染色内镜检查结果与病理确诊结果进行比较,对比放大染色内镜检查方法下的检出情况。结果:放大染色内镜检出早期食道癌4例,早期胃癌10例,早期肠癌4例,检出率19.35%显著高于常规胃镜的检出率6.45%,差异有统计学意义(P<0.05);和病理确诊结果比较差异无统计学意义(P>0.05)。常规胃镜检出重度非典型增生2.15%显著低于放大染色内镜的12.90%,差异有统计学意义(P<0.05)。常规胃镜慢性炎症检出率19.35%高于放大染色内镜的7.53%,差异有统计学意义(P<0.05)。结论:在早期消化道癌诊断中,放大染色内镜诊断价值显著,可为消化道癌的早期诊断及治疗提供指导。Objective To investigate the clinical value of magnified staining endoscopy in the diagnosis of early gastrointestinal carcinoma.Method From 2016 to 2017,93 patients with abnormal alimentary tract lesions in our hospital were selected for this study.The clinical data of the patients were retrospectively analyzed.The patients were examined by conventional gastroscopy and magnified staining endoscopy.And compared with the results of pathological diagnosis,contrast the detection under the method of magnifying staining endoscopy.Results 4 cases of early esophageal carcinoma,10 cases of early gastric cancer and 4 cases of early intestinal cancer were detected by magnification staining endoscopy,the detection rate was 19.35%,which was significantly higher than 64.5% of routine gastroscopy(P<0.05).There was no significant difference between the result of pathological diagnosis and the result of pathological diagnosis(P>0.05).The detection rate of severe atypical hyperplasia by routine gastroscopy was 2.15%,which was significantly lower than that of magnified staining endoscopy(12.90%),and the difference was statistically significant between groups(P<0.05),and the detection rate of chronic inflammation in routine gastroscope was 19.35%, which was higher than that in magnified staining endoscopy(7.53%),and the difference was statistically significant between groups(P<0.05).Conclusion In the diagnosis of early digestive tract carcinoma,magnified staining endoscopy is of great value,which can provide guidance for early diagnosis and treatment of digestive tract carcinoma.

关 键 词：消化道癌 早期 放大染色内镜 检出率 

分 类 号：R735[医药卫生—肿瘤]