胃镜诊断胃癌107例分析

1986年1月至1991年6月经内窥镜检查发现胃癌107例,其中100例经内窥镜活检病理证实,阳性率93.5％,7例阴性者均经手术证实。本文分析了胃癌的内镜特征(中、晚期胃癌、一点癌)和病理特点,并就临床意义进行分析、讨论。认为在胃角、胃窦部的溃疡、糜烂、结节状及粘膜粗糙不平应仔细观察并进行活检。

Analysis of 107 Cases of Carcinoma of Stomach by means of Gastroscopy

From Jeunary 1986 to June 1991 107 cases of carcinoma of stomach were found by gastroscopy, in which 100cases were proved pathologically by biopsy (93.5%).The biopsy of other 7 cases was negative and the diagnosis was confirmed lately by operation.gastroscopy and pathological characteristics and their clinical significane were discussed (103 cases of carcinoma of stomach cases of early stage carcinoma ventriculi case of pinpoint carcinoma).The authors suggested that ulcer, erosion, nodule and stiff surface on the depressed mucosa at the antrum be examined carefully by means of gastroscopy and biopsy be done in order to discover early stage carcinoma ventriculi and make a correct diagnosis.Being aware of these features in not only beneficial to the reasonable clinical treatmet but also helpful to the diagnosis of carcinoma of stomach.