染色内镜技术在胃肠早癌检查中的应用  

Application of staining endoscopy in the detection of gastrointestinal early cancer

作　　者：叶颖 香杰明 黄爱婵 香瑞霞 江堤 欧兵 YE Ying;XIANG Jieming;HUANG Aichan;XIANG Ruixia;JIANG Di;OU Bing(Department of Gastroenterology,Hengli Hospital Dongguan,Dongguan 523460,Guangdong,China)

机构地区：[1]东莞市横沥医院消化内科,广东东莞5234600

出　　处：《癌症进展》2024年第23期2584-2587,共4页Oncology Progress

基　　金：东莞市社会发展科技项目(20221800905822)。

摘　　要：目的 探讨染色内镜技术在胃肠早癌检查中的应用效果。方法 选取600例疑似胃肠早癌患者,按检查方法的不同分为对照组和观察组各300例,对照组患者行普通白光胃肠镜检查,观察组患者行染色内镜(电子染色+靛胭脂染色)检查。比较两组患者胃肠早癌病变阳性检出率和两种检查方式对各胃肠早癌病变的检出率。结果 对照组患者胃肠早癌病变阳性检出率为40.67%(122/300),明显低于观察组患者的60.67%(182/300),差异有统计学意义(P<0.01)。染色内镜检查对炎性伴肠化、不典型增生的检出率均明显高于普通白光胃肠镜检查,差异均有统计学意义(P<0.01)。结论 与普通白光胃肠镜相比,染色内镜可显著提高胃肠早癌的检出率,具有较高的临床应用价值。Objective To investigate the application effect of staining endoscopy in the detection of gastrointestinal early cancer.Method A total of 600 patients with suspected gastrointestinal early cancer were selected and divided into control group and observation group according to different examination methods,300 cases in each group.The control group underwent normal white light gastroenteroscopy,and the observation group underwent staining endoscopy(elec-tron staining+indigo carmine staining).The positive detection rate of gastrointestinal early cancer lesion and the detection rate of various gastrointestinal early cancer lesions were compared between the two groups.Result The positive rate of gastrointestinal early cancer lesion in control group was 40.67%(122/300),which was significantly lower than 60.67%(182/300)in observation group,and the difference was statistically significant(P<0.01).The detection rates of staining endoscopy for inflammation with intestinal metaplasia and atypical hyperplasia were significantly higher than those of normal white light gastroenteroscopy,and the differences were statistically significant(P<0.01).Conclusion Compared with normal white light gastroenteroscopy,staining endoscopy can significantly improve the detection rate of gastrointes-tinal early cancer,and has high clinical application value.

关 键 词：染色内镜 电子染色 靛胭脂染色 胃肠早癌 检出率 

分 类 号：R735[医药卫生—肿瘤]