摘要
目的:观察和研究胃角溃疡的临床内镜特征、病理学特点及其临床意义.方法:应用临床流行病学方法,对208例局限于胃角切迹的溃疡患者的首发症状、内镜表现、病理类型及幽门螺杆菌(Hpylori)检出情况进行研究和分析.结果:良性溃疡(188例,占90.38%),恶性溃疡(20例,占9.62%).其中恶性溃疡中(管状)腺癌13例(65%),低分化腺癌4例(20%),黏液细胞癌2例(10%),印戒细胞癌1例(5%).结论:胃角溃疡多发于中年男性,多为管状腺癌,其次为低分化腺癌,恶性溃疡Hpylori的感染率为25%.
AIM： To investigate the endoscopic manifestations, clinicopathologic characteristics and clinical significance of ulcer at the gastric angle. METHODS： A total of 208 patients with an ulcer at the gastric angle were analyzed. The initial symptoms, endoscopic manifestations, pathologic types and the detection rate of H pylori in these patients were analyzed. RESULTS： Approximately 90.38% （188/208） of all cases of ulcer at the gastric angle proved to be benign disease, whereas 9.62% （20/208） of cases proved to be malignant tumor. Of all malignant cases, 65% （13/20） were tubular adenocarcinoma, 20% （4/20） were poorly differentiated adenocarcinoma, 10% （2/20） were Krudenberg tumor, and 5% （1/20） were signet-ring cell carcinoma CONCLUSION： The majority of cases of ulcer at the gastric angle are found in middle-aged males （52.88%）. The malignancy rate is 9.62%. Of all malignant cases, the majority are tubular carcinoma （65%） and lowly differentiated carcinoma （20%）. The rate of H pylori infection in all malignant cases is 25%.
出处
《世界华人消化杂志》
CAS
北大核心
2009年第35期3644-3648,共5页
World Chinese Journal of Digestology
关键词
胃癌
胃角溃疡
幽门螺杆菌
Gastric carcinoma
Ulcer at the gastric
Helicobacter pylori
