CAJ | 학술논문

目的探讨碘染对进展期食管癌病变范围确定的应用价值.方法对571例内镜下形态学符合进展期食管癌患者，行1.5%lugol’S碘液染色观察不染色区或淡染区的范围，并在不染区取组织进行病理学检查，同时记录好染色前后病变范围的变化及病理学结果，把染色后病变范围扩大同时扩大的病范围理诊断为不典型增生的视为阳性，染色后病变范围不变的视为阴性.结果324例进展期食管癌进行碘染色后发现不着色或淡染区，病变范围大于内镜下形态学的病变区，同时病变以外的食管也可能存在不着色区或淡染区.结论碘染对进展期食管癌病变范围的确定及临床切除范围有指导意义.
목적탐토전염대진전기식관암병변범위학정적응용개치.방법대571례내경하형태학부합진전기식관암환자，행1.5%lugol’S전액염색관찰불염색구혹담염구적범위，병재불염구취조직진행병이학검사，동시기록호염색전후병변범위적변화급병이학결과，파염색후병변범위확대동시확대적병범위리진단위불전형증생적시위양성，염색후병변범위불변적시위음성.결과324례진전기식관암진행전염색후발현불착색혹담염구，병변범위대우내경하형태학적병변구，동시병변이외적식관야가능존재불착색구혹담염구.결론전염대진전기식관암병변범위적학정급림상절제범위유지도의의.
Objective To investigate the iodine dye the value of advanced esophageal lesions. Method:The patients with advanced esophageal cancer:571 cases of endoscopic morphology, line the range of 1.5% lugol'S iodine staining observed not stain district or lightly stained area, and the stained areas of tissue for pathological examination, recorded simultaneously changes of the extent of disease and pathology results before and after staining, the stained lesions to expand the same time expanding the scope of disease management diagnosis for dysplasia as positive staining, the same lesions considered negative. Results:324 cases of advanced esophageal iodine staining, not stained or lightly stained area, extent of disease is greater than the endoscopic morphology of the lesion, and lesions outside of the esophagus there may not stained areas or lightly stained area. Conclusion: The iodine staining to determine clinical resection of advanced esophageal lesions have guiding significance.