胃高位病变的临床特点

THE CHARACTERISTIOS OF THE UPPER LOCATION OF STOMACH DISEASES

对６０３例胃高位病变和１０６例胃窦部病变对照分析，发现胃高位病变有如下特点：（１）老年人居多；（２）男女之比值差明显高于胃窦病变；（３）贲门部位的隆起及浸润病变常有吞咽梗阻感，且多为恶性；（４）在胃体上部，后壁溃疡７０％为恶性，而小弯侧溃疡仅１９％为恶性；（５）高位溃疡＜４ｃｍ者，溃疡大小与病变性质无关，而≥４ｃｍ者则几乎都是恶性；（６）Ｘ线极易漏诊和误诊，诊断符合率仅３２．６％。

According to the comparative analysis to 603 cases of upper part of the diseases of stomach and 1106 cases of diseases of pytoric region of stomach,discovered the characteristics of the upper part diseases as follows: (1) There are more cases with the elderlly groups.(2)A greater difference between male and female of this group has been found than the pars pyloric diseases.(3)The protruded and infiltrative lesions in cardia often cause a feeling of stick while eating and the pathology frequently is malignant.(4) 70% of the ulcer on the upper part and the wall of back of corpus ventriculi is malignant, but only 19% of the ulcer on lesser curvature is malignant.(5) The ulcer of upper part of stomach smaller than 4cm have been proved not relevant with the property of diseases, while those bigger than or equal to 4cm are almost malignant.(6)The diagnosis by X-rays is often missed and undiscovered with accuracy only at 32.6%.