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目的:探讨对胃镜诊断胃底贲门癌的认识。方法:对比分析胃底贲门癌手术病例的临床症状与胃镜的发现,胃镜活检病理报告与手术后的大体标本病理检查结果。结果:胃镜检查发现仅80%(28/35)的进食梗阻患者有贲门狭窄,有12%(3/25)的溃疡浸润型病灶在胃镜检查时当作其他类型,胃镜发现病变范围的大小与真实情况的差异有显著性。结论:胃镜检查可以确诊胃底贲门部癌症,但对癌症的分期作用有限。
Objective: To investigate the gastroscopic diagnosis of gastric cardia cancer. Methods: The clinical symptoms and gastroscope findings were compared between gastric cardia cancer surgery cases, pathological reports of gastroscope biopsy and gross pathological examination results after surgery. RESULTS: Gastroscopy revealed that only 80% (28/35) of the obstructed patients had cardial stenosis, and 12% (3/25) of the ulcer-infiltrating lesions were considered as other types during gastroscopy. The difference in real conditions is significant. Conclusion: Gastroscopy can confirm the diagnosis of gastric cardia cancer, but the staging of cancer is limited.