内镜下食管碘染在早期食管癌及癌前病变诊治中的临床应用价值

摘要

Objective To analyze the clinical value of endoscopic iodine dye in the early diagnosis and treatment of esophageal cancer and precancerous lesions .Methods Selecting 180 cases as the object , doing iodine endoscopic inspection process dyed checks on esopha-geal lesions in 50 cases, doing detailed records under the lesion morphology , location and size, and doing analysis and comparison on multi-ple biopsies and the esophageal squamous epithelium colored concrete results with the corresponding clinical and pathological examination . Results In 50 patients before receiving iodine dye check , 63 lesions points are suspected .In 40 cases after iodine staining dye -free area and lightly staining , a total of 58 points are found , which is about 1/3 of cases have ≥2 points with no staining area and lightly stained area . Conclusion Early diagnosis and treatment of esophageal cancer and precancerous lesions appear within the application in endoscopic has i -deal iodine dye detection results , with higher rate of clinical examination .So it is worth promotion and application .%目的：分析内镜下食管碘染在早期食管癌及癌前病变诊治中的临床应用价值。方法选取180例患者作为此次的研究对象，对50例经内镜检查有食管黏膜可能病变者给予碘染色检查，详细记录病灶的形态、位置以及大小等，行多处活检并把食管鳞状上皮组织具体的着色结果同相应的病理临床检查相互对比分析。结果50例患者接受碘染检查前怀疑病变点共63处，行碘染后40例出现无染色区以及淡染区共58处，约1／3病例出现≥2处无染色区以及淡染区。结论对早期食管癌以及癌前出现病变患者应用内镜下食管碘染色检查，可获得较为理想的检出效果，临床检诊率较高，值得在临床推广和应用。