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目的:总结6年内笔者所在医院进行胃镜检查黏膜活检病例的经验,胃镜检查加碘染色后对食道特异性改变区域黏膜活检术在食管癌早期发现、早期治疗中的临床意义。方法:采用内镜下碘染色加食管黏膜组织活检来进行检查。结果:检出早期食管癌59人次,检出率0.28%,其中维族13268例,检出食管癌55例,检出率为0.41%,汉族8058例,检出食管癌4例,检出率为0.05%。结论:内镜下碘染色食管黏膜鳞状细胞有特异性的诊断价值。新疆喀什地区处在天山南部,维吾尔族食管癌在本地区为常见病、多发病,要降低死亡率,提高生活质量,早期发现、早期诊断、早期治疗是非常的关键。本文通过回顾性分析对比食管癌内镜下表现,术后病理浸润深度及淋巴结转移情况,探讨相互关系,旨在提高早期食管癌内镜下诊断水平,并为内镜下行早期食管癌黏膜切除术提供重要依据。
OBJECTIVE: To summarize the experience of gastroscopy mucosal biopsy in our hospital within 6 years and the clinical significance of esophageal mucosal biopsy in the early detection and early treatment of esophageal cancer after gastroscopy and iodine staining. Methods: Endoscopic iodine staining plus biopsy of esophageal mucosa was performed. Results: 59 cases of early esophageal cancer detected, the detection rate was 0.28%, of which Uigur 13,248 cases, detected 55 cases of esophageal cancer, the detection rate was 0.41%, Han 8058 cases, detected in 4 cases of esophageal cancer, the detection rate was 0.05%. Conclusion: Endoscopic iodine staining of esophageal squamous cells have specific diagnostic value. Kashgar region of Xinjiang is located in the southern Tianshan. Uygur esophageal cancer is common and frequently-occurring disease in the region. To reduce mortality and improve quality of life, early detection, early diagnosis and early treatment are very important. This retrospective analysis of esophageal cancer endoscopic performance comparison, the depth of pathological invasion and lymph node metastasis after surgery to explore the relationship between the purpose of improving the early endoscopic diagnosis of esophageal cancer level, and for endoscopic early esophageal mucosal resection Provide important basis.