论文部分内容阅读
对经手术病理确诊的９８例胃癌作回顾性胃镜资料分析，以探讨胃镜检查对胃癌手术病例的应用价值。结果，胃镜观察、活检、刷片及活检＋刷片的胃癌检出率分别为８４．７％、７９．６％、８３．７％、和９５．３％，其中早期胃癌和胃溃疡癌变６例均获确诊；而胃肠Ｘ线（ＧＩ）的胃癌检出率（６５．０％）及早期胃癌（１／４）和胃溃疡癌变（１／３）的检出结果，均显著低于胃镜检查。此外，胃镜所见病灶＜１个病区、肿瘤直径≤５ｃｍ及ＢｏｒｒｍａｎｎⅠ～Ⅲ型者，手术切除率均达８０％以上。提示，胃镜检查可提高胃癌及早期胃癌和胃溃疡癌变的检出率，并可提供手术指征和切除范围，及追查术后残胃复发癌，对胃癌手术病例有重要应用价值。
98 cases of gastric cancer diagnosed by pathology were retrospectively analyzed by gastroscope to investigate the application value of gastroscopy for gastric cancer. As a result, the detection rates of gastroscopy, biopsy, brushing, and biopsy plus brush were 84.7%, 79.6%, 83.7%, and 95.3%, respectively, of which early gastric cancer and gastric ulcer cancerously 6 All the cases were confirmed; and the detection rate of gastric cancer (GI) with gastric cancer (65.0%) and early gastric cancer (1/4) and gastric ulceration (1/3) were significantly lower Gastroscopy. In addition, the endoscopic lesions <1 ward, tumor diameter ≤ 5cm and Borrmann I ~ III type, surgical resection rate reached more than 80%. Tips, gastroscopy can improve the detection rate of gastric cancer and early gastric cancer and gastric ulcer cancer detection, and provide surgical indications and scope of resection, and to track residual recurrent cancer after surgery, have important application value for surgical cases of gastric cancer.