摘要
本文报告6906例上消化道内镜检查中,发现胃高位病变502例。内镜诊断:癌肿143例(28.5%)、糜烂或炎症160例(32.7%)、溃疡36例(7.2%)、良性肿瘤39例(7.7%)、胃底静脉曲张22例(4.4%)、其它16例(3.1%),后者包括憩室、黄色瘤和霉菌感染。临床症状缺乏特异性,我们认为,(1)胃镜应当高位翻转,近距离观察各个方位;(2)通过反复吸引,转变体位,清除粘液;(3)活检要准确,取材要深而大;(4)对隆起性病变,最好先电灼造成溃疡后再作活检。关键词。
502 cases of gastric upside lesion among 6906 cases examined by endoscopy of upper digestive tract were reported.143 cases (28.5%) were diagnosed as carcinomas, 160 cases (32.7%) erosions or inflammations, 36 cases (7.2%) benign ulcers, 39 cases (7.7%) benign tumours, 22 cases (4.4%) varication in gastric fundus the others include diverticulum, xanthoma and fungi infection.We summarise: 1. Endoscope should be turned over highly to watch every direction; 2. The patient's position should be changed, repeated aspilation should be made to clear mucus; 3. Tissue for biopsy must be gotten in deep lesions; 4. For bulging lesion, electric burn should first be done, then tissue of biopsy would be taken.
