摘要
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 paper analyzed protruded gastric lesions,totally 241 cases(252 focal lesions).The lesions can be decided into mucosal or submucosal,benign or malignant according to endoseopic observation and histologecal examination of specimen,benign mucosal lesions were mostly inflammatory protrusion,verrcous gastritis,regenerated polyps;malignant lesions were mostly Borrman type Ⅰgastric cancer.Submucosal lesions were rarely observed.
出处
《内镜》
1994年第4期199-201,共3页
关键词
胃隆起病变
鉴别诊断
内窥镜
Gastric protruded Lesions Differential diagnosis
