中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
9期
904-905
,共2页
靳斌%朱玉侠%张雪丽%李蓉%路伟%杨芸%孔祥云%赵明星%韦斌%张永红%赵梦云
靳斌%硃玉俠%張雪麗%李蓉%路偉%楊蕓%孔祥雲%趙明星%韋斌%張永紅%趙夢雲
근빈%주옥협%장설려%리용%로위%양예%공상운%조명성%위빈%장영홍%조몽운
靛胭脂-美兰双重染色%内镜%早期胃癌%癌前病变%诊断
靛胭脂-美蘭雙重染色%內鏡%早期胃癌%癌前病變%診斷
전연지-미란쌍중염색%내경%조기위암%암전병변%진단
Indigo carmine-methylene blue double staining%Endoscopy%Early gastric cancer%Precancerous lesions%Diagnosis
目的:探讨内镜下靛胭脂-美兰双重染色法对诊断早期胃癌及癌前病变的临床应用价值.方法:来就诊患者行常规内镜检查,将有可疑病灶患者112例随机分为两组,观察组行内镜下靛胭脂-美蓝染色后活检,对照组采用后常规活检.结果:观察组(57例)分别检出早期胃癌16例、癌前病变27例.对照组(55例)分别检出早期胃癌9例、癌前病变19例,观察组与对照组早期胃癌和癌前病变检出率分别为43/57(75.4%)和28/55(50.9%),且差异有统计学意义(P<0.01).有明显染色分界区28/57(49.1%)的胃癌和癌前病变的检出率均显著高于无明显染色分界区15/57(26.3%)(P<0.05).结论:内镜下靛胭脂一美兰双重染色能显著提高早期胃癌和癌前病变的检出率,对早期胃癌和癌前病变诊断具有一定的指示意义.
目的:探討內鏡下靛胭脂-美蘭雙重染色法對診斷早期胃癌及癌前病變的臨床應用價值.方法:來就診患者行常規內鏡檢查,將有可疑病竈患者112例隨機分為兩組,觀察組行內鏡下靛胭脂-美藍染色後活檢,對照組採用後常規活檢.結果:觀察組(57例)分彆檢齣早期胃癌16例、癌前病變27例.對照組(55例)分彆檢齣早期胃癌9例、癌前病變19例,觀察組與對照組早期胃癌和癌前病變檢齣率分彆為43/57(75.4%)和28/55(50.9%),且差異有統計學意義(P<0.01).有明顯染色分界區28/57(49.1%)的胃癌和癌前病變的檢齣率均顯著高于無明顯染色分界區15/57(26.3%)(P<0.05).結論:內鏡下靛胭脂一美蘭雙重染色能顯著提高早期胃癌和癌前病變的檢齣率,對早期胃癌和癌前病變診斷具有一定的指示意義.
목적:탐토내경하전연지-미란쌍중염색법대진단조기위암급암전병변적림상응용개치.방법:래취진환자행상규내경검사,장유가의병조환자112례수궤분위량조,관찰조행내경하전연지-미람염색후활검,대조조채용후상규활검.결과:관찰조(57례)분별검출조기위암16례、암전병변27례.대조조(55례)분별검출조기위암9례、암전병변19례,관찰조여대조조조기위암화암전병변검출솔분별위43/57(75.4%)화28/55(50.9%),차차이유통계학의의(P<0.01).유명현염색분계구28/57(49.1%)적위암화암전병변적검출솔균현저고우무명현염색분계구15/57(26.3%)(P<0.05).결론:내경하전연지일미란쌍중염색능현저제고조기위암화암전병변적검출솔,대조기위암화암전병변진단구유일정적지시의의.
Objective: To investigate clinical value of the endoscopic indigo carmine-methylene blue double staining in diagnosis of early gastric cancer and precancerous lesions.Methods:The patients to seek treatment with routine endoscopy, those of 112 suspicious lesions were randomly divided into two groups, the observation group were taken biopsy after endoscopic indigo carmine-methylene blue staining.The control group were routine biopsy.Results:16 cases of early gastric cancer and 27 cases of precancerous lesions were detected in the observation group (57 cases).9 cases of early gastric cancer and 19 cases of precancerous lesions were detected in the control group (57 cases).The early gastric cancer and precancerous lesion positive rate of the observation group and the control group was 43/57 (75.4%), and 28/55 (50.9%), respectively.The difference was statistically significant (P<0.01).There are obvious staining demarcation zone 28/57 (49.1%) of gastric cancer and precancerous lesion detection rate was significantly higher than those without clear demarcation zone staining 15/57 (26.3%) (P<0.05).Conclusion:Endoscopic indigo carmine methylene blue double staining can significantly improve the detection rate of early gastric cancer and precancerous lesion,that has the certain instruction significance or the early diagnosis of gastric cancer and precancerous lesions.
