CAJ | 학술논문

目的：探讨应用FICE波长最佳组合＋放大内镜观察大肠隆起性病变微细结构，与病变病理学诊断结果相对照，对大肠隆起性病变作出正确及时的诊断并加以治疗。方法：用放大变焦结肠镜常规检查，记录病灶部位，形态。用FICE的10种红绿蓝（ RGB ）不同波长组合，观察粘膜表面的微细腺管形态及微血管形态，记录最佳波长组合，然后使用放大40-200倍放大病灶。结果：通过应用FICE不同波长最佳组合＋放大内镜观察结肠隆起性病变的微细结构，与病理组织学诊断符合率在90％以上。结论：根据FICE不同波长最佳组合＋放大内镜观察可即时鉴别结肠粘膜的肿瘤性及非肿瘤性病变，指导相应的镜下或手术治疗，提高诊治早期大肠癌的敏感性和准确率。
목적：탐토응용FICE파장최가조합＋방대내경관찰대장륭기성병변미세결구，여병변병이학진단결과상대조，대대장륭기성병변작출정학급시적진단병가이치료。방법：용방대변초결장경상규검사，기록병조부위，형태。용FICE적10충홍록람（ RGB ）불동파장조합，관찰점막표면적미세선관형태급미혈관형태，기록최가파장조합，연후사용방대40-200배방대병조。결과：통과응용FICE불동파장최가조합＋방대내경관찰결장륭기성병변적미세결구，여병리조직학진단부합솔재90％이상。결론：근거FICE불동파장최가조합＋방대내경관찰가즉시감별결장점막적종류성급비종류성병변，지도상응적경하혹수술치료，제고진치조기대장암적민감성화준학솔。
Objective: Use the comparison between the optimum combination of FICE wave length adding magnifying endoscope and the result of pathology ,in order to diagnose correctly and treat the colorec-tal eminence lesions in time .Method:By magnifying colonoscopy routine examination , record location , mor-phology, by the different combination of FICE wave length (RGB),Observe micro gland mucosal surfaces of the tube shape and microvascular morphology ,record the optimum wavelength combination ,magnify he lesions 40-200 times.Results: The use of the optimum combination of FICE wavelength adding magnifying endo-scope answers for rate of above 90%of histopathological diagnosis .Conclusion:Using the optimum combina-tion of FICE wavelength adding magnifying endoscope can identify the colonic mucosal neoplastic and non ne -oplastic lesions instantly ,advise the treatment of the corresponding microscopic or operation ,improve the sen-sitivity of diagnosis and treatment of early colorectal cancer and accuracy .