摘要
目的分析早期胃癌的胃镜及病理特点,以提高早期胃癌的诊断率。方法总结该院1994￣2003年经手术证实为早期胃癌的64例患者的临床资料。结果64例早期胃癌病人术前胃镜均确诊为胃癌,其胃内分布以胃窦最多30例(46.9%),病理示管状腺癌最多32例(50.0%),病灶周围组织示萎缩性胃炎28例(43.8%),肠上皮化生26例(40.6%),中重度不典型增生26例(40.6%),幽门螺旋杆菌阳性58例(90.6%)。结论早期胃癌Ⅱ型病变多见,胃窦是好发部位,黏膜内癌与黏膜下癌发生淋巴转移的几率无明显差异(P>0.1),胃镜检查是早期胃癌确诊的重要手段,癌前病变及Hp与早期胃癌关系密切。
[Objective] To analyze the characteristic of gastroscope and pathology in early gastric cancer（EGC） for promoting the rate of diagnosis of which. [Methods] To summarize clinical date of 64 cases proved being EGC through operation in our own hospital between 1994 and 2003. [Results] All 64 patients suffering from EGC wereconfirmed being gastric cancer through examination of gastroscope before operation, the distribution of which within stomach mainly located at gastric antrum（30 case,46.9%）, moreover, pathology indicated tubular gland cancer was the most（32 case, 50.0%）, tissue around focus indicated atrophic gastritis accounted for 28 cases （43.8%）, intestinal metaplasia occupied 26 case （40.6%）, middle and severe atypical proliferation were 26 case （40.6%）, 58 cases （90.6%） were positive with helicobacter pylori （HP）. [Conclusions] Type Ⅱ of lesion is commonly seen in EGC which tends to appear at gastric antrum. There is no significant defference between submucous membrane cancer and mucous membrane cancer in terms of lymph transfer. Castroscope is a important means to diagnosis EGC.Lesion precancerous and HP have tight relation with gastric cancer.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第7期714-715,718,共3页
China Journal of Endoscopy
关键词
早期胃癌
胃镜
病理类型
病变
early gastric cancer （EGC）
gastroscope
pathological type
