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目的 :探讨内镜选择性染色诊断早期食管癌的价值。方法 :对 1 56例内镜下有可疑病灶者进行甲苯胺蓝和卢戈氏液染色 ,观察着色情况取材送检。结果 :46例甲苯蓝染色共 30例 45处着色 ;1 1 0例卢戈氏液染色共68例 87处不着色或淡染区。经病理诊断 1 2例食管癌 ,其中 9例粘膜内癌 ,3例已浸润到浆膜层 ,不典型增生46例 ,Barrett食管 9例 ,单纯增生 31例。结论 :内镜下染色能扩大内镜诊断范围 ,提高食管癌诊断水平 ,值得临床广泛推广。
Objective: To explore the value of endoscopic selective staining in the diagnosis of early esophageal cancer. METHODS: Toluidine blue and Lugol’s solution were stained in 566 cases with suspicious lesions under endoscopy. Results: A total of 46 cases were stained with toluene blue in 30 cases and 45 cases were stained. A total of 118 cases of Lutose solution were stained with no staining or light staining in 87 cases. Pathological diagnosis of 12 cases of esophageal cancer, of which 9 cases of mucosal carcinoma, 3 cases have infiltrated into the serosa, atypical hyperplasia in 46 cases, Barrett’s esophagus in 9 cases, simple hyperplasia in 31 cases. Conclusion: Endoscopic staining can expand the diagnostic scope of endoscopy, improve the diagnosis of esophageal cancer, it is worth widely clinical promotion.