消化道肿瘤内镜治疗课件.pptVIP

*早期診斷率低患者可治癒機會少患者5年生存率低病死率高*概念早癌(earlygastriccancer,EGC)是指癌組織侵及黏膜層或黏膜下層,而不論其大小和是否有淋巴結轉移。EGC分黏膜內癌(mucosalcancer,MC)和黏膜下癌(submucosalcancer,SMC)。日本EGC達60-70%以上，而我國仍只占5-15%左右。*Macroscopictypeofearlygastriccancer*EGC內鏡診斷新技術超聲內鏡(endoscopicultrasonography)色素內鏡(chromoendoscopy)放大內鏡(magnificationendoscopy)螢光內鏡(fluorescenceendoscopy)仿真內鏡(virtualendoscopy)窄譜成像（Narrowbandimaging）*早癌診斷手段—染色內鏡食管：Lugol`s碘染色結腸：靛胭脂染色胃角：靛胭脂染色*早癌診斷手段—電子染色內鏡NBIFICEChineseMedicalJournal,2008,121(11)：977-982*早癌診斷手段—超聲內鏡食管早癌胃早癌Chin