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目的:探讨普通结肠镜、染色结肠镜在大肠隆起性黏膜病变中临床应用价值。方法:对90例结肠镜检查发现的黏膜隆起性病变,分别行普通结肠镜、染色结肠镜诊断。所有病变均作病理学检查。比较普通结肠镜、染色结肠镜诊断结果与病理学诊断结果。结果:共发现192个隆起性黏膜病变,普通结肠镜诊断为炎性息肉、管状腺瘤、绒毛状腺瘤、大肠癌与病理诊断的符合率分别为68.8%、76.9%、66.7%和80.0%,总病理符合率为73.4%;染色结肠镜分别为86.7%、87.5%、85.7%和90.9%,总病理符合率为87.5%。结论:染色结肠镜能有效提高大肠隆起性黏膜瘤性与非瘤性病变的鉴别能力,具有较高的临床应用价值。
Objective: To investigate the clinical value of colonoscopy and colonoscopy in the patients with colonic mucosal lesions. Methods: A total of 90 colon mucosal lesions were observed by colonoscopy and colonoscopy. All lesions were pathological examination. More common colonoscopy, staining colonoscopy diagnostic results and pathological diagnosis. Results: A total of 192 cases of mucosal lesions were found. The coincidence rate of colposcopy and adenoma was 68.8%, 76.9%, 66.7% and 80.0% respectively in the diagnosis of inflammatory polyp, tubular adenoma, villous adenoma and colorectal cancer. , The total pathological coincidence rate was 73.4%; the colonoscopy was 86.7%, 87.5%, 85.7% and 90.9% respectively, the total pathological coincidence rate was 87.5%. Conclusion: The staining colonoscopy can effectively improve the differential diagnosis of colorectal mucosal tumor and non-neoplastic lesions, and has high clinical value.