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亚甲蓝染色对胃癌前病变的诊断价值
引用本文:胡建平,张铁英,马彬,赵进. 亚甲蓝染色对胃癌前病变的诊断价值[J]. 胃肠病学和肝病学杂志, 2010, 19(3)
作者姓名:胡建平  张铁英  马彬  赵进
作者单位:银川市第一人民医院消化内科,宁夏,银川,750001
基金项目:银川市第一人民医院科技攻关项目 
摘    要:目的研究胃镜下亚甲蓝染色对胃癌前病变的诊断价值。方法胃镜下有胃黏膜异常表现的46例患者,用0.5%的亚甲蓝均匀喷洒于胃黏膜,然后在染色的部位取活检送病理组织学检查。将同期胃镜下有胃黏膜异常表现但未染色的50例作为对照组。结果染色组有29例存在胃黏膜肠上皮化生(gastric intestinal metaplas,GIM)和不典型增生(atypical hyperplasia,ATP),检出率63.04%,对照组检出率为24%。结论胃镜下亚甲蓝染色可明显提高胃癌前病变的检出率。

关 键 词:亚甲蓝染色  胃癌前病变  黏膜活检

Methylene blue staining in the diagnosis of gastric precancerous lesions
HU Jianping,ZHANG Tieying,MA Bin,ZHAO Jin. Methylene blue staining in the diagnosis of gastric precancerous lesions[J]. Chinese Journal of Gastroenterology and Hepatology, 2010, 19(3)
Authors:HU Jianping  ZHANG Tieying  MA Bin  ZHAO Jin
Affiliation:HU Jianping,ZHANG Tieying,MA Bin,ZHAO JinDepartment of Gastroenterology,Yinchuan First People's Hospital,Yinchuan 750001,China
Abstract:Objective To study the value of endoscopic methylene blue staining in the diagnosis of gastric precancerous lesions.Methods Forty-six patients had gastric mucosal abnormalities under gastroscope,0.5% methylene blue sprayed evenly on the gastric mucosa,and then dyeing location of biopsy sent to histopathological examination.At the same time,50 patients with gastric mucosal abnormalities but non-staining were as control group.Results In the staining group,29 patients existed gastric intestinal metaplasia(GIM)...
Keywords:Methylene blue staining  Gastric precancerous lesions  Mucosal biopsy  
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