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目的 探讨复方碘溶液进行食管黏膜染色对诊断早期食管癌及癌前病变的重要价值。方法 用 2 %复方卢戈碘液 10～ 15ml进行直视下食管粘膜喷洒染色 ,视淡染、不染等不同程度的染色情况 ,分别做活组织病理检查。结果 镜下食管粘膜呈正常染色者 15 8例 ,4 8例表现为对碘不染或染色不良。经病理检查证实 ,食管癌 3例 ,食管粘膜不典型增生 19例 ,食管炎 2 6例。结论 碘染色对食管癌及癌前病变的早期诊断简便易行 ,推动了食管癌的防治进程。内镜下碘染色结合病理检查已是食管癌及癌前病变的主要检查方法之一。
Objective To investigate the value of compound iodine solution in the diagnosis of early esophageal cancer and precancerous lesions. Methods The esophageal mucosa was sprayed with 10 ~ 15ml 2% Lugolloin iodine solution under direct vision. The biopsy was performed according to different degrees of staining, such as light staining and non-staining. Results of the mirror esophageal mucosa were normal staining 15 8 cases, 48 cases showed no iodine staining or poor staining. The pathological examination confirmed that three cases of esophageal cancer, esophageal atypical hyperplasia in 19 cases, 26 cases of esophagitis. Conclusion Iodine staining is an easy and convenient method for the early diagnosis of esophageal cancer and precancerous lesions, and promotes the prevention and treatment of esophageal cancer. Endoscopic iodine staining combined with pathological examination of esophageal cancer and precancerous lesions is one of the main methods.