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本文分析了本院一年零１０个月内镜诊断的胃隆起性病变（ＧＰＬ）２４１例２５２个病灶，提出老年男性多见。在内镜下鉴别诊断时按日本山田分型，然后详细从正面、侧面观察隆起形态，表面性状，光滑程度、颜色、软硬度、活动度以及有无粘膜桥，可区分为粘膜层或粘膜下层之隆起，区分良恶性质，结合病理做出诊断。粘膜良性以炎性隆起，疣状胃炎，再生性息肉多见；恶性以ＢｏｒｒｍａｎⅠ型进展期癌较多，Ⅰ型早期胃癌较少。粘膜下层肿物（ＳＭＴ）较少见。对ＧＰＩ如能有较全面的认识，将对诊断隆起型胃癌、特别是隆起型早期胃癌具有重要意义。
This article analyzed 241 cases of 252 cases of gastroesophageal lesions (GPL) endoscopically diagnosed in this hospital within one year and 10 months, suggesting that older men are more common. In the endoscopic differential diagnosis according to Japanese Yamada classification, and then from the front, side view of the bulge in detail, surface traits, smoothness, color, hardness, activity and the presence of mucosal bridge, can be divided into mucosal layer or mucosa The uplift of the lower layer distinguishes the nature of benign and evil and makes a diagnosis based on pathology. The mucosa was benign with inflammatory uplift, verrucous gastritis, regenerative polyps more common; malignant Borrman type I advanced cancer more, type I early gastric cancer less. Submucosal tumors (SMT) are less common. For a more comprehensive understanding of the GPI, it will be of great significance for the diagnosis of elevated gastric cancer, especially the type of early gastric cancer.