胃镜细胞刷片检查在上消化道癌诊断中的价值

THE EFFECT OF BRUSH BIOPSY WITH GASTROFIBERSCOPEIN THE DIAGNOSIS OF CANCER OF UPPER DIGESTIVE TRACT

通过对６５２例应用胃镜细胞刷片检查的回顾性调查，探讨该方法在上消化道癌诊断中的价值。检查对象均经胃镜直视诊断，使用胃镜直视下刷擦法，并经细胞病理学证实。刷检阳性率达９６．７８％，而病检阳性率仅８６．２２％。刷检与病检联合使用，更可提高上消化道癌的检出率。刷检不仅可提高进展期癌的检出率，且可提高早期癌的检出率，并可起到快速诊断作用，对因病致食管狭窄的病例，刷检细胞学检查尤为重要。

iagnostic value of brush biopsy with gastrofiberscope in cancer of upper digestive tract was studiedthrough retrospective study of 652 patients confirmed by pathology。There was a positive rate of 96.78%in brush biopsy but 86.22%in pliers biopsy.It was suggested that combined brush biopsy with pliers biopsy could improve the diagnostic value not only in advanced cancer but also in early cancer,and pldy an important role in the rapid diagnosis.To the patient whose esophagus was narrowed by tumor,the brush biopsy is more useful than the pliers biopsy。