胃黏膜皱襞巨大肥厚21例临床分析

21 clinical analysis of gastric mucosal giant hypertrophy

目的探讨良、恶性胃黏膜皱襞巨大肥厚的鉴别诊断。方法胃镜诊断与黏膜活检、手术后病理诊断对照。结果胃镜诊断21例胃黏膜皱襞巨大肥厚患者,其中弥漫性肥厚15例,局限性肥厚6例,常规病理活检仅发现7例恶性病变。术前胃镜诊断慢性胃黏膜肥厚性胃病8例,其中5例施行手术,均为恶性病变,误诊率达63.5%。结论慢性胃黏膜肥厚性胃病(Menetrier)是少见的,胃黏膜皱襞巨大肥厚以恶性者居多。

[Objective] To inverstigate differential diagnosis of nor-malignancy and malignancy gastic mucosal giant hypertrophy. [Methods] To compare diagnosis of endoscopy, histopathological and postoperation. [Results] 21 patients of gastric mucosal giant hypertrophy were diagnosed by endoscopy, among 7 gastic malignant tumours by biopsy. 5 of 8 Menetrier who were operated were gastic malignant tumours, misdiagnostic rate 63.5%. [Conclusion] Menetrier is rare and most of gastric mucosal giant hypertrophy is malignant.