摘要
对４５例经内镜诊断反流性食管炎（４１例）和伴食管溃疡（１３例），单纯食管溃疡（３例）及轻度凹陷性糜烂（１例）之患者做食管粘膜卢戈氏染色。染色后轻度凹陷性糜烂与食管炎中平坦状糜烂各１例分别诊断为浅凹陷型（Ｏ－Ⅱａ）与轻度隆起型（Ｏ－Ⅱａ）食管癌（ｍｍ癌与ｓｍ癌），与手术结果一致。９例染色前判定无明显异常区，染色后见１３处非染色区，１１处活检为糜烂性炎症。８例贲门口闭合不全中４例齿状线观察不清，染色后３例判定为裂孔疝。作者体会，卢戈氏染色有助于区别良恶性，尤其对早期食管癌的诊断具有重要价值。
Lugol staining was performed in 45 patients with esophageal lesions during the esophagoscopic examination,among which there were reflux esophagitis in 41 cases and associated with esophageal ulcer in 13 cases,single ulcer in 3 cases,and slight shallow erosion in one case. All patients were benign lesions observed by endoscopy before Lugol staining. In one case with slightly shallow erosion of esophagus and one case with flat erosion of esophagitis ,slightly depressed type cancer (mm. O-Ⅱ c) and slightly elevated type cancer(sm. O-Ⅱ a) separately was diagnosed after Lugol staining ,which them was demonstrated by operation and pathology. In 9 cases prior to Lugol staining no distinct abnormal esophageal mucosal area was observed,but after Lugol staining among them 13 unstained areas was detected, 11 areas of them were inflammatory erosions diagnosed by biopsy specimens. In 4 of 8 cases with incompetent cadiac closure Z-line cannot be observed distinctly,however after Lugol staining in 3 cases hiatus hernia was diagnosed. We considered that Lugol staining is indispensable to differential diagnosis between benign or malignant lesions,especially it has important value to detect early esophageal cancer.
出处
《内镜》
1995年第4期195-197,共3页
关键词
色素内镜
卢戈氏染色
非梁色区
食管肿瘤
诊断
Staining endoscopy
Unstained area Lugol staining
Early esophageal cancer.
