胃底贲门癌的临床病理研究

Clinical pathogical study on stomach cardia-fundus cancer

目的:探讨对胃镜诊断胃底贲门癌的认识。方法:对比分析胃底贲门癌手术病例的临床症状与胃镜的发现,胃镜活检病理报告与手术后的大体标本病理检查结果。结果:胃镜检查发现仅80%(28/35)的进食梗阻患者有贲门狭窄,有12%(3/25)的溃疡浸润型病灶在胃镜检查时当作其他类型,胃镜发现病变范围的大小与真实情况的差异有显著性。结论:胃镜检查可以确诊胃底贲门部癌症,但对癌症的分期作用有限。

Objective：To evaluate the value of gastroscope in the diagnosis of the stomach eardia-fundus cancer. Mathods： To retrospective study 79 cases patient＇s clinical symptom,endoscopic present,the range and features of nidus ,pathological type of biopsy specimen and isolated specimen. Results ：Gastroscopy found only 80% patients with dysphagia have stricture. 12% nidus of the infiltration-ulcerative type misdiagnosis as others ,there was significant difference between gastroscopy ascertained the figure of the extent of nidus and facts. Conclusion ：Gastroscopy can diagnosis stomach cardia-fumdus cancer, but it was limited to ascertain the period of gastric carcinoma.