甲苯胺蓝体内染色诊断早期食管癌的临床应用

被引：6

作者：

王国清

常扶保

田振杰

唐谨

机构：

[1] 中国医学科学院日坛医院外科

[2] 河南林县姚村公社卫生院

[3] 中国医学科学院日坛医院同位素室

来源：

中华医学杂志 | 1980年 / 02期

关键词：

D O I：

暂无

中图分类号：

R735 [消化系肿瘤];

学科分类号：

100214 ;

摘要：

本文报告101例应用甲苯胺蓝体内染色诊断早期食管癌,其中细胞学检查阳性的62例,甲苯胺蓝染色着色者57例,着色率91.9%(57/62),活检阳性率83.9%(52/62)。细胞学检查阴性的39例中,着色率23%(9/39),但活检阴性。着色图像的形状分为地图状(52%),花斑状(13.5%),点块状(26.8%)和大片状(7.7%)。着色深度分为深浅两类(深78.8%,浅21.2%)。着色结构分均匀(61.5%)和不均匀(38.5%)。着色区边界分锐利(96.1%)和不清楚(3.9%)两类。利用甲苯胺蓝染色诊断早期食管癌可能会有假阳性,假阳性率21.2%(14/66)这个数字可能比实际情况高一些,因有些病灶在活检中漏掉了。本法优点是操作简便,定位和定范围较准确。可以在着色区进行指示性活检从而提高阳性率。

引用

共 10 条

[1]

Endoscopic dyeing method for diagnosis of early cancer and intestinal metaplasia of the stomach. Suzuki S,et al. . 1973

[2]

The use of tolonium in the diagnosis of malignant gastric lesions. Yamakawa T,et al. . 1972

[3]

Toluidine Blue in the managemant of carcinoma of the oral cavity. Strong MS.et al. . 1968

[4]

Endoscopic dyeing method for diagnosis of early cancer and intestinal metaplasia of the stomach. Suzuki S,et al. Journal of Women s Health . 1973

[5]

Toluidine Blue in the managemant of carcinoma of the oral cavity. Strong MS.et al. Journal of Women s Health . 1968

[6]

The use of tolonium in the diagnosis of malignant gastric lesions. Yamakawa T,et al. Journal of Women s Health . 1972

[7]

Glycogenic acanthosis of the Esophagus:A form of benign epithelial hyperplasia. Bender MD,et al. Journal of Women s Health . 1973

[8]

In vivo staining properties of oral cancer. Donald P. Shedd M.D. Peter B. Hukill M.D. and Saul Bahn D.M.D. The American Journal of Surgery . 1965

[9]

A clinical staining test for the invivo dehneation of dysplasia and carcinoma insitu. Richart RM. American Journal of Obstetrics and Gynecology . 1963

[10]

Glycogenic acanthosis of the Esophagus:A form of benign epithelial hyperplasia. Bender MD,et al. . 1973

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