早期胃癌的消化内镜诊断分析

Analysis of endoscopic diagnosis of early gastric cancer of digestive

目的对于早期胃癌的内镜诊断进展进行分析与探讨。方法搜集整理我院2005年7月～2015年7月收治确诊的早期胃癌36例，对其进行的白光内镜，染色内镜，超声内镜，窄带成像（narrow band imaging，NBI）放大内镜检查资料进行整理分析。结果癌灶位于胃底7例，胃体10例，胃窦部19例，直径约0．4～5cm，平均（1．0±0．4）cm；形态学上0～Ⅰ型11例，0～Ⅱ型23例，0～Ⅲ型2例；36例边界清晰，33例病变表面形态或色调不规则；病理分化型27例，未分化型9例。结论白光内镜结合染色内镜，NBI放大内镜，超声内镜新技术，可显著提高早期胃癌的检出率。

Objective To analyze and discuss the progress of endoscopic diagnosis of early gastric cancer. Methods 36 cases of patients who were diagnosed early gastric cancer in our hospital from July 2005 to July 2015 were collected, and the white light endoscopy, chromoendoscopy, endoscopic ultrasonography, NBI （narrow band imaging NBI） amplification endoscopic data were collected and analyzed. Results There were 7 cases with tumor located in the gastric .fundus, 10 cases with tumor located in gastric body,and 19 cases with tumor located in antrum, with diameter from 0.4 cm to 5 cm and the average diameter was （1.0±0.4） cm. There were 11 cases of 0- Ⅰ morphological stage,23 cases of 0- Ⅱ morphological stage, and 2 cases of 0- Ⅲmorphological stage. There were 36 cases with clear boundary and 33 cases with irregular lesion surface morphology or tone. There were 27 cases of pathological type and 9 cases of undifferentiated type. Conclusion White light endoscopy combined with chromoendoscopy,NBI magnifying endoscopy and endoscopic uhrasonography new technology, can significantly improve the detection rate of early gastric cancer.