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題 名 | Magnifying Endoscopy with Indigo Carmine Contrast for the Differential Diagnosis of Adenomatous and Hyperplastic Colonic Polyps=放大內視鏡及染色法應用於大腸息肉之鑑別診斷 |
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作 者 | 蘇銘堯; 董水義; 連昭明; 邱正堂; 陳邦基; 吳正雄; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 17:3 2000.09[民89.09] |
頁 次 | 頁1-7 |
分類號 | 415.12 |
關鍵詞 | 放大內視鏡術; 靛洋紅; 大腸息肉; Magnifying endoscopy; Indigo carmine; Colon polyp; |
語 文 | 英文(English) |
中文摘要 | 大多數的學者皆認同幾乎所有的大腸直腸癌皆由大腸腺腫性息肉衍生而來,然而 非腫瘤性息肉則不會轉變成癌。因此,只有腺腫性息肉須要進行息肉切除治療。但是一般的 大腸鏡檢查,很難從型態上去區分此兩類息肉;因此,我們利用放大鏡式大腸鏡加上靛洋紅 染色法來作此兩類息肉之型態學鑑別。 我們使用 Olympus CF240ZI 放大鏡式大腸鏡及百分 之一靛洋紅染色法,施行於三十位患者,總共有三十個大腸息肉接受觀察;觀察之方法採用 工藤進一博士之 Pit 分類法,然後將息肉切除作病理診斷。 結果顯示利用放大鏡式大腸鏡 加上靛洋紅染色法來作此兩類息肉之型態學鑑別,與病理診斷結果有極佳之一致性。使用此 方法,我們可以減少息肉切除術之施行,避免併發症之產生,也可以減少醫療支出。 |
英文摘要 | There are no reliable endoscopic criteria to discriminate hyperplastic from adenomatous polyp. Mucosal biopsy remains the gold standard for the diagnosis of colonic polyps. In this study, we use magnifying endoscopy with indigo carmine dye contrast to differentiate these two types of polyp. Colonoscopic examinations were performed in 30 patients to analyze a total 30 polyps. Indigo carmine (1%) was directly sprayed on the surface of the polyps, and the magnifying endoscope (Olympus CF240Zl) was then used to observe their villi and crypts (pit pattern). The pit pattern analysis was according to Kudo's classifications. the polyps were then polypectomized or biopsy for pathological diagnosis. There were two polyps with type I; six with type Ⅱ, two with type Ⅲ s; four with with type Ⅲ L; and fourteen with type IV; and two with type V pit pattern. The pattern has good correlation with its respective histology. We therefore conclude that magnifying endoscopy with indigo carmine contrast detailed morphological study of colorectal polyps that hleps to distingusih non-neoplastic from neoplastic polyps. This technique may decrease the need for biopsy and polypectomy for non-neoplastic polys, and ultimately lower medical expense and avoid the unwanted complications associated with colonoscopic examination. |
本系統中英文摘要資訊取自各篇刊載內容。