早期胃癌内镜诊断进展

Progress of Endoscopic Diagnosis of Early Gastric Cancer

在早期胃癌(EGC)的诊断中,内镜检查是最直接、准确、可靠的诊断方法。目前,有多种内镜检查方法用于临床:普通电子内镜、放大内镜、染色内镜、超声内镜、荧光内镜、近红外线电子内镜、窄谱成像技术、共聚焦激光显微内镜等。各种方法在EGC的诊断中各有其独特的价值,在临床中应结合实际情况选择合适的方法,制定相应的筛查方案,以提高EGC的诊断率。

Endoscopy is one of the most direct and accurate diagnostic methods tO detect early gastric cancer （EGC）. At present, many kinds of endoscopies are used in clinical practice. They are traditional electric endoscopy, magnifying endoscopy, chromoendoscopy, endoscopic ultrasonography, fluorescence endoscopy,near infrared electronic endoscopy, narrow band imaging , and confocal endomicroscopy . Each kind of endoscopy has its unique value in the diagnosis of EGC respectively . Feasible screening methods according to practical condition in clinic should be chosen in order to promote the diagnostic rate of EGC.