【摘要】 目的探讨胃镜下卢戈液染色诊断早期食管癌及癌前病变的价值。方法对40例胃镜下食管有可疑病变者行卢戈液染色,观察着色情况并取材常规送病理检查。结果 40例卢戈液染色有24例(36处)不着色区或淡染区,经病理诊断食管黏膜内癌2处,不典型增生20处,Barrett食管8处,单纯增生6处。结论胃镜下卢戈液染色能提高早期诊断食管癌及癌前病变的水平。更多还原

【Abstract】 Objective To discuss the value of chromoendoscopy(Lugol’s solution) for the diagnosis of early esophageal cancer and precancerous lesions.Methods Chromoendoscopy with Lugol’s solution was used in the esophagus to detect lesions in 40 patients with suspicious esophageal lesions,and biopsy specimens were taken from the lesions for pathologic diagnosis.Results Among the 40 cases,24(36 regions) were not stained with Lugol’s solution.Pathologic examination showed esophageal mucous menbrane carcinoma in 2 cases,atypical hyperplasia in 20,Barrett’s esophagus in 8 and simple hyperplasia in 6.Conclusion Chromoendoscopy with Lugol’s solution can elevate diagnostic levels of early esophageal cancer and precancerous lesions.Therefore,it is worthy to be widely used in clinical practice.更多还原