超细内镜对胃癌早期发现的临床意义探讨

On the clinical significance of ultra-fine endoscopy in detecting early gastric cancer

目的探讨超细内镜对胃癌早期发现的临床意义。方法采用FUJINON EG-270N5前视式超细内镜观察60例胃癌患者胃癌发生部位和病变性质,对比内镜和病理活检结果。结果进展期胃癌53例,与超细内镜的诊断符合率为96.4%;早期胃癌7例,与超细内镜的诊断符合率为71.2%,提示超细内镜对胃癌组织形态变化和病程进展情况的诊断结果与活检诊断结果符合率较高。结论临床使用超细内镜结合活检组织检查,可有效早期发现胃癌的发病部位和病变性质。

Objective To explore the clinical significance of ultra -fine endoscopy in detecting early gastric cancer. Methods FUJINON EG -270N5 forward viewing ultra -fine endoscopy was applied to detect the location and lesion nature of cancers in pa- tients with gastric cancer,and its results were compared with that of biopsy. Results The patients with advanced and early gastric cancer were 53 and 7, respectively, and their coincidence rates were 96.4% and 71.2% , respectively,indicating that the diagnosis of histo - morphological change and disease progression of gastric cancer by ultra - fine endoscopy was similar to that by biop- sy. Conclusion Combined ultra -fine endoscopy and biopsy in clinic can effectively and early detect the location and lesion nature of gastric cancer.