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April 1, 2026临床医学前沿0 citationsOpen Access

食管碘染色内镜对提高平罗县上消化道癌早诊率的效果分析

张张喜龙马马丽艳陈陈亚芹

Key Points

  • The study aims to evaluate the effectiveness of esophageal iodine staining endoscopy in improving early diagnosis rates of upper gastrointestinal cancer.
  • Retrospective analysis of patient data from Pingluo County People's Hospital from 2022 to 2024.
  • Comparison of early cancer diagnosis rates between standard white-light endoscopy and iodine staining technique in high-risk groups.
  • Evaluation of sensitivity for small concealed lesions located 30-35 cm from the incisors.
  • Early esophageal cancer and precancerous lesions detection rate increased from 1.85% in 2022 to 3.68% in 2023-2024.
  • High sensitivity for microscopic lesions in the targeted esophageal area.
  • The agreement rate between iodine-stained areas and pathological confirmation was 91.3%.

Abstract

目的:探讨食管碘染色内镜技术在宁夏平罗县提升上消化道癌早期诊断率的效果及临床价值。方法:回 顾性分析2022-2024年平罗县人民医院数据:2022年(基线年)行普通白光胃镜检查3085例,2023-2024年对高危人群 加用食管碘染色技术,累计检查1876例,比较不同模式早期癌诊断率。结果:2022年早期食管癌及癌前病变检出率 1.85%(57例);2023-2024年检出率升至3.68%(69例),且对食管距门齿30-35cm段隐匿微小病变敏感性高,碘染色 异常区与病理确诊一致率91.3%。结论:在平罗县这一上消化道癌高发区,推广食管碘染色内镜技术可显著提高早期 病变检出率,助力“早发现、早干预”,值得基层医疗普及。

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Cite This Study

张喜龙 et al. (2026) studied this question.

synapsesocial.com/papers/69cd79e15652765b073a6c29https://doi.org/10.37155/2661-4766-0801-26
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