内镜下食管黏膜碘染色对大连地区原居民早期食管癌的发现研究

By the Endoscope Idodine Dyes to the Esophagus Mucous Discovery Early Esophagus Cancer of Dalian Area Aborigine

目的探讨经内镜进行食管黏膜碘染色方法对大连地区原居民早期食管癌的发现价值。方法对45岁以上有上消化道症状的病人行胃镜检查时进行卢戈氏碘液的喷洒,对不染区进行多点病理活检。结果有食管病变病人异常发现率为73.85%,癌前病变发生率为35.38%,早期食管癌发生率为1.54%。结论具有明显食管症状、内镜下发现食管黏膜可疑病变的病人,尽可能要进行碘染色和精确活检。对发现癌前病变的病人,要及时随访,反复碘染检查。大连地区原居民早期食管癌的发生率并不比全国发病率低。

Objective To discuss the value of esophagus mucous idodine staining method throagh endosopy to the discovery of early esophageal concr in residents of Dalian. Methods In patients over 45 years old with digestive tract symptom, gastroscopy and Lugol＇ s idodine fluid spraying were performed muti-spot biopsy was carried out in the non-dyed areas. Results The abnormal discovery rate was 73.85% ,the rate of precancerous change was 35.38% and the imidence of early esophaged cancer was 1.54% in patients with esophageal diseases. Conclusion The idodine staining and precise biopsy should be performed in patients with suspicious pathological chages of esophagus mucous. For patients with precancerous charges,follow-up and continuons idodine staining are necessory. The incidence of early esophageal cancer in Dalian is not less than that in the whole netion.