重庆医学Issue(18)：2491-2492,2495,3.DOI:10.3969/j.issn.1671-8348.2015.18.015
内镜下冰醋酸联合靛胭脂染色对胃黏膜病变的诊断价值
Clinical application value of acetic acid and indigo carmine staining under endoscope in the auxiliary diagnosis of gastric mucosal disease
摘要
Abstract
Objective To evaluate the clinical value of acetic acid and indigo carmine staining under endoscope in the auxiliary diagnosis of gastric mucosal disease .Methods After conventional electronic endoscopic diagnosis ,396 patients with gastric mucosal disease were randomly and evenly divided into 2 groups .The staining group was directly sprayed with acetic acid and indigo car‐mine ,the control group was not stained .Comparison of the endoscopic characteristics and the biopsy results between the two groups was made .Results In the staining group ,18 early gastric cancer (9 .1% ) ,11 high‐grade intraepithelial neoplasia (5 .6% ) ,16 low‐grade intraepithelial neoplasia (8 .1% ) and 51 intestinal metaplasia (25 .8) were found ,while in the control group 2 ,early gastric cancers (1 .0% ) ,4 high‐grade intraepithelial neoplasia (2 .0% ) ,6 low‐grade intraepithelial neoplasia (3 .0% ) and 41 intestinal met‐aplasia (20 .7% ) were found respectively .The detection rate of early gastric cancer ,high‐grade intraepithelial neoplasia ,low‐grade intraepithelial neoplasia and intestinal metaplasia in the staining group was higher than that in the control group (P<0 .05) .In the staining group ,3 early gastric cancer with high‐grade intraepithelial neoplasia protruded type (1 .0% ) ,16 superficial type (55 .2% ) ,and 10 depressed type (34 .5% ) were detected ,among which the detection rate of superficial type was higher than that of the other two types (P<0 .05) .Conclusion Staining with acetic acid and indigo carmine helps with the targeted biopsy ,improves the detection rates of early gastric cancer and precancerous lesion ,and allow s to estimate the severity of the disease .关键词
胃肿瘤/内镜/醋酸/靛蓝二磺酸钠Key words
stomach neoplasms/endoscope/acetic acid/indigotindsulfonte sodium分类
医药卫生引用本文复制引用
马颖才,刘芝兰,熊元治,丹珠永吉,马丽莉,王燕,德吉措姆,吉方正,张梦岚..内镜下冰醋酸联合靛胭脂染色对胃黏膜病变的诊断价值[J].重庆医学,2015,(18):2491-2492,2495,3.基金项目
卫生部资金资助项目（200902002-3）。 （）
